Effects of critical illness on the functional status of children with a history of prematurity.

Autor: Peduce MA; Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brasil., Dannenberg VC; Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brasil., Rovedder PME; Faculdade de Fisioterapia, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brasil., Carvalho PRA; Unidade de Terapia Intensiva Pediátrica, Departamento de Pediatria, Hospital de Clínicas de Porto Alegre, Universidade Federal do Rio Grande do Sul - Porto Alegre (RS), Brasil.
Jazyk: English; Portuguese
Zdroj: Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2022 Oct-Dec; Vol. 34 (4), pp. 469-476. Date of Electronic Publication: 2023 Mar 03.
DOI: 10.5935/0103-507X.20220429-pt
Abstrakt: Objective: To evaluate the effects of critical illness on the functional status of children aged zero to 4 years with or without a history of prematurity after discharge from the pediatric intensive care unit.
Methods: This was a secondary cross-sectional study nested in an observational cohort of survivors from a pediatric intensive care unit. Functional assessment was performed using the Functional Status Scale within 48 hours after discharge from the pediatric intensive care unit.
Results: A total of 126 patients participated in the study, 75 of whom were premature, and 51 of whom were born at term. Comparing the baseline and functional status at pediatric intensive care unit discharge, both groups showed significant differences (p < 0.001). Preterm patients exhibited greater functional decline at discharge from the pediatric intensive care unit (61%). Among patients born at term, there was a significant correlation between the Pediatric Index of Mortality, duration of sedation, duration of mechanical ventilation and length of hospital stay with the functional outcomes (p = 0.05).
Conclusion: Most patients showed a functional decline at discharge from the pediatric intensive care unit. Although preterm patients had a greater functional decline at discharge, sedation and mechanical ventilation duration influenced functional status among patients born at term.
Databáze: MEDLINE
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