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Incidence and associated factors of pediatric post-intensive care syndrome using the VSCAREMD model

Paweethida Tippayawong1, Chanapai Chaiyakulsil2

  • 1Department of Pediatrics, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand.

Acute and Critical Care
|November 4, 2022
PubMed

Insights

The VSCAREMD model identified a high incidence of post-intensive care syndrome (PICS) in children, with prolonged intensive care unit stays being a significant risk factor. This model aids in evaluating PICS in pediatric patients.

Area of Science:

  • Pediatric intensive care
  • Child health outcomes
  • Medical modeling

Background:

  • The VSCAREMD model assesses vaccination, sleep, parental care, and development.
  • It has been proposed for detecting post-intensive care syndrome (PICS) in children.
  • This study evaluates PICS incidence and associated factors in pediatric patients.

Purpose of the Study:

  • To determine the incidence of PICS in children using the VSCAREMD model.
  • To identify factors associated with PICS in pediatric intensive care survivors.
  • To assess the utility of the VSCAREMD model for PICS evaluation.

Main Methods:

  • Children aged 1 month to 15 years admitted to the ICU for ≥48 hours were assessed.
  • The VSCAREMD model was applied within one week of ICU discharge.
  • Abnormal findings were categorized into physical, cognitive, mental, and social domains; statistical analyses included chi-square, univariate, and multivariate methods.

Main Results:

  • 82.1% of children (78/95) exhibited at least one abnormal domain.
  • Physical, cognitive, mental, and social morbidities were present in 64.2%, 26.3%, 13.7%, and 38.9% of children, respectively.
  • Prolonged ICU stay (>7 days) and underlying medical conditions were significantly associated with PICS domains.

Conclusions:

  • The VSCAREMD model revealed a high incidence of PICS in children.
  • Prolonged intensive care is a key factor associated with PICS.
  • The VSCAREMD model shows promise for evaluating PICS in pediatric populations.
Abstract

Keywords:
childrenintensive caremorbidity

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