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December 6, 2022Revista Pesquisa em FisioterapiaOpen Access

Functional status after PICU hospitalization – a six-month follow-up: a multicenter study

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Key result

In pediatric patients surviving PICU admission, new functional morbidity occurred in 11.5%, with each additional day of invasive mechanical ventilation increasing the risk (RR 1.02).

Population

214 pediatric patients aged between one month and <18 years old requiring PICU admission. 135 completed…

Design

Cohort

Follow-up

6 months

Authors

JOJéssica Knisspell de OliveiraCSCamila Wohlgemuth SchaanCCCamila M. de Campos

Discussion

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Overview

May prompt minimizing IMV duration in pediatric PICU care; leaves open whether this reduces new functional morbidity.

Study Design

Type

Observational (n=214)

Multicenter

Yes

Structured PICO

P
Population
214 pediatric patients aged 1 month to <18 years who required PICU admission for at least 24 hours, followed for 6 months after hospital discharge to assess functional status.
O
Outcome
Functional status evaluated with Functional Status Scale (FSS-Brazil) and incidence of new morbidity (worsening of ≥2 points in the same domain compared with baseline) at up to 6 months post-discharge

Main Result

Relative Risk: 1.02 (95% CI 1–1.04)

p-value: p=0.019

Pediatric patients admitted to the PICU generally recover their functional status by 6 months post-discharge, though prolonged invasive mechanical ventilation slightly increases the risk of new functional morbidity.

Limitations

  • High loss to follow-up rate (34.1% overall, with 19.6% at six months)
  • Short follow-up period of 6 months compared to other long-term studies
  • Small sample size may have limited the statistical power to observe other clinical associations

Cite This Study

Oliveira et al. (2022) conducted an observational in Critical illness requiring PICU admission (n=214). Invasive mechanical ventilation duration was evaluated on New morbidity (worsening of functional status by ≥2 points in the same FSS-Brazil domain compared to baseline) (RR 1.02, 95% CI 1.00-1.04, p=0.019). In pediatric patients surviving PICU admission, new functional morbidity occurred in 11.5%, with each additional day of invasive mechanical ventilation increasing the risk (RR 1.02).

synapsesocial.com/papers/6ab8bfc2772e5a0adfca5a97https://doi.org/10.17267/2238-2704rpf.2022.e4768
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Functional Status and Hospital Readmission After Pediatric Critical Disease: A Year Follow-Up2022 · 2 citations
  2. 2Functional Status Scale as a Measure of Functional Impairment and Residual Morbidity in Pediatric Intensive Care Unit Survivors: A Single-center Observational Study2026
  3. 3Efficiency of PICU using Functional Status Scale (FSS): A Pilot Study2025
  4. 4Psychosocial and adaptive behavior functioning in children following pediatric intensive care unit hospitalization: prospective cohort study2025 · 1 citations
  5. 5Functional outcomes and clinical characteristics of children discharged from pediatric intensive care unit of a low- and middle-income countries: A single-center prospective observational cohort study from Rwand2024 · 2 citations