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The pediatric intensive care unit in France: What happens afterwards?

Delphine Micaëlli1, Stéphane Dauger1,

  • 1Médecine intensive et réanimation pédiatriques, hôpital Robert Debré, Assistance Publique Hôpitaux de Paris, Paris, France; Université Paris-Cité, ECEVE, UMR 1123, Inserm, F-75010 Paris, France.

Archives De Pediatrie : Organe Officiel De La Societe Francaise De Pediatrie
|March 20, 2024
PubMed

Insights

Pediatric post-intensive care syndrome affects many children, but follow-up care is inconsistent. This study reveals a lack of standardized post-pediatric intensive care unit (PICU) follow-up services in France, highlighting a critical gap in care.

Area of Science:

  • Pediatric critical care medicine
  • Healthcare systems research

Background:

  • Pediatric post-intensive care syndrome (PICS) is a significant concern affecting children's long-term quality of life.
  • Current guidelines for post-pediatric intensive care unit (PICU) follow-up are lacking.
  • This heterogeneity in care poses challenges for PICU teams.

Purpose of the Study:

  • To describe the current landscape of post-PICU follow-up practices in France.
  • To identify the prevalence and characteristics of post-PICU consultation services.
  • To highlight challenges in developing standardized follow-up care.

Main Methods:

  • A survey was conducted among 37 French pediatric intensive care units (PICUs).
  • Data collected included the presence of follow-up consultation services and their primary objectives.
  • Information on the professionals involved in follow-up care was also gathered.

Main Results:

  • Only 67% of French PICUs reported having a dedicated consultation service.
  • Pediatric intensivists predominantly (95%) provided this follow-up care.
  • Post-intensive care evaluation was the main objective in 46% of centers, with others focusing on specific patient groups.

Conclusions:

  • Post-PICU follow-up care in France is highly heterogeneous.
  • A significant proportion of PICUs lack dedicated follow-up services.
  • Developing standardized consultation services is a key challenge for PICU teams to address PICS effectively.

Keywords:
Follow-upPediatric intensive care unitPediatric post-intensive care syndromeSequelae

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