Physical, Cognitive, Emotional, and Social Health Outcomes of Parents in the First Six Months after Childhood Critical Illness
A Prospective Single Centre Study
Bibliographic Data
| ID | 15717469 |
|---|---|
| Authors | Pei‐fen Poh (0000-0002-9078-6929, KK Women's and Children's Hospital, corresponding author), Pei-Fen Poh (University of Plymouth), Jan Hau Lee (0000-0002-8430-4217, KK Women's and Children's Hospital), Rehena Sultana (0000-0001-9347-5571, Duke-NUS Medical School), Joseph C Manning (0000-0002-6077-4169, Nottingham University Hospitals NHS Trust), Matthew C Carey (0000-0003-3411-0657, University of Plymouth), Jos M Latour (0000-0002-8087-6461, Sun Yat-sen University) |
| Year | 2024 |
| Volume | 11 |
| Issue | 8 |
| Pages | 948-948 |
| Publication date | 2024-08-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Children (JOURNAL) |
| Journal identifiers | ISSN: 2227-9067 • E-ISSN: 2227-9067 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/children11080948 |
| PMID | 39201883 |
| OpenAlex | W4401357342 |
| Language | EN |
| References cited | 39 |
Childhood critical illness can have long-term effects on families, but the extent and trajectory of recovery for parents are unknown. Using prospective longitudinal design, we describe the health outcomes of parents and their trajectory six months after paediatric intensive care unit (PICU) discharge. Parents reported health outcomes at PICU discharge (baseline), and 1-, 3-, and 6-months post-discharge. We used the Pediatric Quality-of-Life Family Impact Module, Patient Health Questionnaire-4, and post-traumatic stress disorder (PTSD) Checklist for DSM-5. The group-based trajectory model was used to identify recovery patterns. We included 128 parents of children aged 1 month to 18 years, admitted to the PICU for ≥48 h. Three post-discharge composite health trajectory groups were classified: 54 mild (42%), 68 moderate (53%), and 6 severe (4%). Parents in the mild and moderate groups returned to baseline health within the first 3 months, but those in the severe group exhibited worse outcomes at 6-months. The mean (SD) PICU stay durations for mild, moderate, and severe groups were 9 (16), 7 (10), and 38 (61) days; days of mechanical ventilation were 4 (5), 4 (7), and 18 (25) days; and readmission rates were 12 (22%), 23 (34%), and 4 (66%), respectively. Identifying these trajectories enables novel, targeted interventions for at-risk parents, underscoring the significance of integrated PICU follow-up care
Checklist · Child Behavior Checklist · Cognition · Mechanical ventilation · Pediatric intensive care unit · Prospective cohort study · Psychiatry · Psychological intervention · Quality of life (healthcare · Childhood Cancer Survivors' Quality of Life · Family and Patient Care in Intensive Care Units · Infant Development and Preterm Care · Medicine · Psychology · Pediatrics
Group-Based Trajectory Modeling in Clinical Research
An Ultra-Brief Screening Scale for Anxiety and Depression
An Ultra-Brief Screening Scale for Anxiety and Depression
Strengthening the reporting of observational studies in epidemiology (STROBE) statement
Stressful Experiences of Parents in the Paediatric Intensive Care Unit
A SAS Procedure Based on Mixture Models for Estimating Developmental Trajectories
| Citation velocity | historical |
|---|---|
| Highly cited | No |