Mariana Vieira da Silva1, Ana João Fernandes2, Ricardo Mota3, Augusto Ribeiro3.
1Department of Pediatrics, Unidade Local de Saúde Viseu Dão Lafões, Viseu, Portugal,
2Department of Pediatrics, Unidade Local de Saúde de Braga, Braga, Portugal,
3Pediatric Intensive Care Unit, Unidade Local de Saúde São João, Porto, Portugal.
|
Abstract
Mortality rates in paediatric intensive care have remained low in the past few decades due to significant advances in medical technology and clinical care. Today, survival alone is no longer the sole indicator of successful care. As survival has improved, growing attention has shifted toward long-term outcomes, particularly post-discharge quality of life and morbidity acquired during or after intensive care. There is a growing recognition within the paediatric critical care community of the need to address broader aspects of recovery, many of which are potentially modifiable through evidence-based interventions and improvements in clinical practice.
Post-intensive care syndrome in paediatrics (PICS-p) describes newly developed or worsened impairments in physical, psychological, cognitive and/or social aspects following discharge from paediatric intensive care units. Recognition, treatment and prevention of this syndrome is crucial to maximize long-term outcomes.
This paper aims to review the existing literature to assess the current state of research on preventive measures for PICS-p. Published studies were identified through systematic searches of major databases, followed by a thorough extraction of relevant data on PICS-p and its prevention.
|