PICU-Based Rehabilitation and Outcomes Assessment : A Survey of Pediatric Critical Care Physicians
OBJECTIVES: Characterize current practices for PICU-based rehabilitation, and physician perceptions and attitudes, barriers, resources, and outcome assessment in contemporary PICU settings.
DESIGN: International, self-administered, quantitative, cross-sectional survey.
SETTING: Online survey distributed from March 2017 to April 2017.
PATIENTS OR SUBJECTS: Pediatric critical care physicians who subscribed to email distribution lists of the Pediatric Acute Lung Injury and Sepsis Investigators, the Pediatric Neurocritical Care Research Group, or the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment study group, and visitors to the World Federation of Pediatric Intensive and Critical Care Societies website.
INTERVENTIONS: None.
MEASUREMENTS AND MAIN RESULTS: Of the 170 subjects who began the survey, 148 completed it. Of those who completed the optional respondent information, most reported working in an academic medical setting and were located in the United States. The main findings were 1) a large majority of PICU physicians reported working in institutions with no guidelines for PICU-based rehabilitation, but expressed interest in developing and implementing such guidelines; 2) despite this lack of guidelines, an overwhelming majority of respondents reported that their current practices would involve consultation of multiple rehabilitation services for each case example provided; 3) PICU physicians believed that additional research evidence is needed to determine efficacy and optimal implementation of PICU-based rehabilitation; 4) PICU physicians reported significant barriers to implementation of PICU-based rehabilitation across centers; and 5) low routine assessment of long-term functional outcomes of PICU patients, although some centers have developed multidisciplinary follow-up programs.
CONCLUSIONS: Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.
| Errataetall: |
CommentIn: Pediatr Crit Care Med. 2019 Jun;20(6):586-587. - PMID 31162359 |
|---|---|
| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2019 |
|---|---|
| Erschienen: |
2019 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:20 |
|---|---|
| Enthalten in: |
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies - 20(2019), 6 vom: 01. Juni, Seite e274-e282 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Treble-Barna, Amery [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
Journal Article |
|---|
| Anmerkungen: |
Date Completed 06.07.2020 Date Revised 03.11.2023 published: Print ClinicalTrials.gov: NCT02209935 CommentIn: Pediatr Crit Care Med. 2019 Jun;20(6):586-587. - PMID 31162359 Citation Status MEDLINE |
|---|
| doi: |
10.1097/PCC.0000000000001940 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM295680318 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM295680318 | ||
| 003 | DE-627 | ||
| 005 | 20231225084203.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2019 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1097/PCC.0000000000001940 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n0985.xml |
| 035 | |a (DE-627)NLM295680318 | ||
| 035 | |a (NLM)30946294 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Treble-Barna, Amery |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a PICU-Based Rehabilitation and Outcomes Assessment |b A Survey of Pediatric Critical Care Physicians |
| 264 | 1 | |c 2019 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Completed 06.07.2020 | ||
| 500 | |a Date Revised 03.11.2023 | ||
| 500 | |a published: Print | ||
| 500 | |a ClinicalTrials.gov: NCT02209935 | ||
| 500 | |a CommentIn: Pediatr Crit Care Med. 2019 Jun;20(6):586-587. - PMID 31162359 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a OBJECTIVES: Characterize current practices for PICU-based rehabilitation, and physician perceptions and attitudes, barriers, resources, and outcome assessment in contemporary PICU settings | ||
| 520 | |a DESIGN: International, self-administered, quantitative, cross-sectional survey | ||
| 520 | |a SETTING: Online survey distributed from March 2017 to April 2017 | ||
| 520 | |a PATIENTS OR SUBJECTS: Pediatric critical care physicians who subscribed to email distribution lists of the Pediatric Acute Lung Injury and Sepsis Investigators, the Pediatric Neurocritical Care Research Group, or the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment study group, and visitors to the World Federation of Pediatric Intensive and Critical Care Societies website | ||
| 520 | |a INTERVENTIONS: None | ||
| 520 | |a MEASUREMENTS AND MAIN RESULTS: Of the 170 subjects who began the survey, 148 completed it. Of those who completed the optional respondent information, most reported working in an academic medical setting and were located in the United States. The main findings were 1) a large majority of PICU physicians reported working in institutions with no guidelines for PICU-based rehabilitation, but expressed interest in developing and implementing such guidelines; 2) despite this lack of guidelines, an overwhelming majority of respondents reported that their current practices would involve consultation of multiple rehabilitation services for each case example provided; 3) PICU physicians believed that additional research evidence is needed to determine efficacy and optimal implementation of PICU-based rehabilitation; 4) PICU physicians reported significant barriers to implementation of PICU-based rehabilitation across centers; and 5) low routine assessment of long-term functional outcomes of PICU patients, although some centers have developed multidisciplinary follow-up programs | ||
| 520 | |a CONCLUSIONS: Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, N.I.H., Extramural | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 700 | 1 | |a Beers, Sue R |e verfasserin |4 aut | |
| 700 | 1 | |a Houtrow, Amy J |e verfasserin |4 aut | |
| 700 | 1 | |a Ortiz-Aguayo, Roberto |e verfasserin |4 aut | |
| 700 | 1 | |a Valenta, Cynthia |e verfasserin |4 aut | |
| 700 | 1 | |a Stanger, Meg |e verfasserin |4 aut | |
| 700 | 1 | |a Chrisman, Maddie |e verfasserin |4 aut | |
| 700 | 1 | |a Orringer, Maxine |e verfasserin |4 aut | |
| 700 | 1 | |a Smith, Craig M |e verfasserin |4 aut | |
| 700 | 1 | |a Pollon, Dorothy |e verfasserin |4 aut | |
| 700 | 1 | |a Duffett, Mark |e verfasserin |4 aut | |
| 700 | 1 | |a Choong, Karen |e verfasserin |4 aut | |
| 700 | 1 | |a Watson, R Scott |e verfasserin |4 aut | |
| 700 | 1 | |a Kochanek, Patrick M |e verfasserin |4 aut | |
| 700 | 1 | |a Fink, Ericka L |e verfasserin |4 aut | |
| 700 | 0 | |a PICU-Rehabilitation Study Group, Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network, and Prevalence of Acute critical Neurological disease in children: A Global Epidemiological Assessment (PANGEA) Investigators |e verfasserin |4 aut | |
| 700 | 1 | |a Rubin, Pamela |e investigator |4 oth | |
| 700 | 1 | |a Strohm, Sharon |e investigator |4 oth | |
| 700 | 1 | |a Stanger, Meg |e investigator |4 oth | |
| 700 | 1 | |a Orringer, Maxine |e investigator |4 oth | |
| 700 | 1 | |a Zhou, Amy |e investigator |4 oth | |
| 700 | 1 | |a Sisung, Charles |e investigator |4 oth | |
| 700 | 1 | |a Hojnacki, Katie |e investigator |4 oth | |
| 700 | 1 | |a Lacci, Christina |e investigator |4 oth | |
| 700 | 1 | |a Hill, Jeanette |e investigator |4 oth | |
| 700 | 1 | |a Hinkes-Molinaro, Laura |e investigator |4 oth | |
| 700 | 1 | |a Walsh, Katie |e investigator |4 oth | |
| 700 | 1 | |a Johnson, Tyler |e investigator |4 oth | |
| 700 | 1 | |a Borrowman, Julie |e investigator |4 oth | |
| 700 | 1 | |a Russo, Laura |e investigator |4 oth | |
| 700 | 1 | |a Howard, Kelli |e investigator |4 oth | |
| 700 | 1 | |a Benken, Laura |e investigator |4 oth | |
| 700 | 1 | |a Peariso, Katrina |e investigator |4 oth | |
| 700 | 1 | |a Broomall, Eileen |e investigator |4 oth | |
| 700 | 1 | |a Frank, Erin |e investigator |4 oth | |
| 700 | 1 | |a Clonan, Ann |e investigator |4 oth | |
| 700 | 1 | |a Capizzi, Lindsey |e investigator |4 oth | |
| 700 | 1 | |a Miller, Claire |e investigator |4 oth | |
| 700 | 1 | |a Phillips, Jennifer |e investigator |4 oth | |
| 700 | 1 | |a Ruffing, Marin |e investigator |4 oth | |
| 700 | 1 | |a Evanson, Nate |e investigator |4 oth | |
| 700 | 1 | |a Kurowski, Brad |e investigator |4 oth | |
| 700 | 1 | |a Taylor, J Michael |e investigator |4 oth | |
| 700 | 1 | |a Yunger, Toni |e investigator |4 oth | |
| 700 | 1 | |a Music, Rebekah W |e investigator |4 oth | |
| 700 | 1 | |a Betz, Emily |e investigator |4 oth | |
| 700 | 1 | |a Wainwright, Mark |e investigator |4 oth | |
| 700 | 1 | |a Meerdo, Crystal |e investigator |4 oth | |
| 700 | 1 | |a Meerdo, Robert |e investigator |4 oth | |
| 700 | 1 | |a Marshal, Linda |e investigator |4 oth | |
| 700 | 1 | |a Pollon, Dorothy |e investigator |4 oth | |
| 700 | 1 | |a Braksick, Leslie |e investigator |4 oth | |
| 700 | 1 | |a LaPorte, Megan |e investigator |4 oth | |
| 700 | 1 | |a Docimo, Steve |e investigator |4 oth | |
| 700 | 1 | |a Brown, Brenda Eagan |e investigator |4 oth | |
| 700 | 1 | |a Rieker, James |e investigator |4 oth | |
| 700 | 1 | |a Budin, Lee |e investigator |4 oth | |
| 700 | 1 | |a Sanders, Maurita |e investigator |4 oth | |
| 700 | 1 | |a Klepac, Dahlia |e investigator |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies |d 2000 |g 20(2019), 6 vom: 01. Juni, Seite e274-e282 |w (DE-627)NLM124299717 |x 1529-7535 |7 nnns |
| 773 | 1 | 8 | |g volume:20 |g year:2019 |g number:6 |g day:01 |g month:06 |g pages:e274-e282 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1097/PCC.0000000000001940 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 20 |j 2019 |e 6 |b 01 |c 06 |h e274-e282 | ||