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Post-traumatic stress disorder in children after discharge from the pediatric intensive care unit: a scoping review
Maoting Tang1,2, Ping Lei Chui3, Mei Chan Chong1
1Department of Nursing Science, Faculty of Medicine, Universiti Malaya, Kuala Lumpur, Wilayah Persekutuan, Kuala Lumpur, 50603, Malaysia.
Insights
Pediatric intensive care unit (PICU) survivors face a high risk of post-traumatic stress disorder (PTSD), with prevalence ranging from 13% to 84.6%. Medical, child, and family factors influence PTSD development, necessitating further research and interventions.
Area of Science:
- Pediatric critical care medicine
- Child psychology
- Trauma studies
Background:
- Post-traumatic stress disorder (PTSD) is an increasing concern for children after pediatric intensive care unit (PICU) discharge.
- Understanding PTSD prevalence, risk factors, and assessment in this vulnerable population is crucial.
Approach:
- A comprehensive scoping review was conducted using the Arksey and O'Malley framework.
- Searched major scientific databases (PubMed, Web of Science, Scopus, etc.) for English and Chinese studies up to September 2023.
- Included 31 studies from 3536 initial results, analyzing PTSD prevalence, influencing factors, and measurement tools.
Key Points:
- PTSD prevalence in children post-PICU discharge varied widely, from 13% to 84.6%.
- Identified risk factors include intensive medical interventions, child-specific characteristics, and the family environment.
- Seventeen distinct tools were reported for assessing PTSD in pediatric PICU patients.
Conclusions:
- The high and variable prevalence of PTSD underscores its significance in children following PICU stays.
- Further research and targeted interventions are essential to mitigate the impact of PTSD on these young patients.
- Addressing medical, child, and family factors is key to developing effective PTSD management strategies.
Abstract:
As the prevalence of post-traumatic stress disorder (PTSD) among children discharged from pediatric intensive care unit (PICU) continues to rise, corresponding research efforts have also increased. This scoping review aimed to review the PTSD prevalence, influencing factors, and tools used for PTSD measurements in children discharged from the PICU. This review employed the five-stage framework proposed by Arksey and O'Malley. The data sources included PubMed, Web of Science, Ovid, ScienceDirect, Springer, Scopus, CNKI, and WANFANG. Studies in English or Chinese published up to September 2023 were eligible for inclusion. The search yielded a total of 3536 results, with 31 articles meeting the inclusion criteria. The included studies reported that the prevalence of PTSD ranged from a minimum of 13% to a maximum of 84.6%. Risk factors for PTSD included medical interventions, child-related factors, and family environment. A total of 17 assessment tools for PTSD in PICU patients were reported. Given the significance of PTSD in this pediatric population, further attention, research, and intervention are warranted to help alleviate the burden of PTSD.
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