Educational Outcomes of Childhood Survivors of Critical Illness-A Population-Based Linkage Study.
Journal
Critical care medicine
ISSN: 1530-0293
Titre abrégé: Crit Care Med
Pays: United States
ID NLM: 0355501
Informations de publication
Date de publication:
01 06 2022
01 06 2022
Historique:
pubmed:
17
2
2022
medline:
28
5
2022
entrez:
16
2
2022
Statut:
ppublish
Résumé
Major postintensive care sequelae affect up to one in three adult survivors of critical illness. Large cohorts on educational outcomes after pediatric intensive care are lacking. We assessed primary school educational outcomes in a statewide cohort of children who survived PICU during childhood. Multicenter population-based study on children less than 5 years admitted to PICU. Using the National Assessment Program-Literacy and Numeracy database, the primary outcome was educational achievement below the National Minimum Standard (NMS) in year 3 of primary school. Cases were compared with controls matched for calendar year, grade, birth cohort, sex, socioeconomic status, Aboriginal and Torres Strait Islander status, and school. Multivariable logistic regression models to predict educational outcomes were derived. Tertiary PICUs and mixed ICUs in Queensland, Australia. Children less than 5 years admitted to PICU between 1998 and 2016. Not applicable. Year 3 primary school data were available for 5,017 PICU survivors (median age, 8.0 mo at first PICU admission; interquartile range, 1.9-25.2). PICU survivors scored significantly lower than controls across each domain (p < 0.001); 14.03% of PICU survivors did not meet the NMS compared with 8.96% of matched controls (p < 0.001). In multivariate analyses, socioeconomic status (odds ratio, 2.14; 95% CI, 1.67-2.74), weight (0.94; 0.90-0.97), logit of Pediatric Index of Mortality-2 score (1.11; 1.03-1.19), presence of a syndrome (11.58; 8.87-15.11), prematurity (1.54; 1.09-2.19), chronic neurologic conditions (4.38; 3.27-5.87), chronic respiratory conditions (1.65; 1.24-2.19), and continuous renal replacement therapy (4.20; 1.40-12.55) were independently associated with a higher risk of not meeting the NMS. In this population-based study of childhood PICU survivors, 14.03% did not meet NMSs in the standardized primary school assessment. Socioeconomic status, underlying diseases, and severity on presentation allow risk-stratification to identify children most likely to benefit from individual follow-up and support.
Identifiants
pubmed: 35170536
doi: 10.1097/CCM.0000000000005461
pii: 00003246-202206000-00001
pmc: PMC9112965
doi:
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
901-912Commentaires et corrections
Type : CommentIn
Informations de copyright
Copyright © 2022 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the Society of Critical Care Medicine and Wolters Kluwer Health, Inc.
Déclaration de conflit d'intérêts
Dr. Tomaszewski’s institution received funding from the Queensland Department of Education; he disclosed that data linkage was provided free of charge by the Queensland Department of Health. This manuscript provides research findings and does not represent the views of the Department of Education. Dr. Schlapbach received support for article research from grants from the Intensive Care Foundation Australia, an Education Horizon grant from the Queensland Department of Education, and Children’s Hospital Foundation Australia, and the National Health and Medical Research Council Practitioner Fellowship. The remaining authors have disclosed that they do not have any potential conflicts of interest.
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