Healthcare Burden and Resource Utilization After Pediatric Acute Respiratory Distress Syndrome: A Secondary Analysis of the Collaborative Pediatric Critical Care Research Network Acute Respiratory Distress Syndrome Study.
Journal
Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
ISSN: 1529-7535
Titre abrégé: Pediatr Crit Care Med
Pays: United States
ID NLM: 100954653
Informations de publication
Date de publication:
06 Mar 2024
06 Mar 2024
Historique:
medline:
6
3
2024
pubmed:
6
3
2024
entrez:
6
3
2024
Statut:
aheadofprint
Résumé
To describe family healthcare burden and health resource utilization in pediatric survivors of acute respiratory distress syndrome (ARDS) at 3 and 9 months. Secondary analysis of a prospective multisite cohort study. Eight academic PICUs in the United States (2019-2020). Critically ill children with ARDS and follow-up survey data collected at 3 and/or 9 months after the event. None. We evaluated family healthcare burden, a measure of healthcare provided by families at home, and child health resource use including medication use and emergency department (ED) and hospital readmissions during the initial 3- and 9-month post-ARDS using proxy-report. Using multivariable logistic regression, we evaluated patient characteristics associated with family healthcare burden at 3 months. Of 109 eligible patients, 74 (68%) and 63 patients (58%) had follow-up at 3- and 9-month post-ARDS. At 3 months, 46 families (62%) reported healthcare burden including (22%) with unmet care coordination needs. At 9 months, 33 families (52%) reported healthcare burden including 10 families (16%) with unmet care coordination needs. At month 3, 61 patients (82%) required prescription medications, 13 patients (18%) had ED visits and 16 patients (22%) required hospital readmission. At month 9, 41 patients (65%) required prescription medications, 19 patients (30%) had ED visits, and 16 (25%) required hospital readmission were reported. Medication use was associated with family healthcare burden at both 3 and 9 months. In a multivariable analysis, preillness functional status and chronic conditions were associated with healthcare burden at month 3 but illness characteristics were not. Pediatric ARDS survivors report high rates of healthcare burden and health resource utilization at 3- and 9-month post-ARDS. Future studies should assess the impact of improved care coordination to simplify care (e.g., medication management) and improve family burden.
Identifiants
pubmed: 38445974
doi: 10.1097/PCC.0000000000003476
pii: 00130478-990000000-00320
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Investigateurs
Monica Harding
(M)
Andrew Nicklawsky
(A)
Whit Coleman
(W)
Stephanie Bisping
(S)
Sam Sorenson
(S)
Kristi Flick
(K)
Caleb Bracken
(C)
Ann Pawluszka
(A)
Melanie Lulic
(M)
Mary Ann DiLiberto
(MA)
Elyse Tomanio
(E)
Diane Hession
(D)
Neha Patel
(N)
Mackenzie Little
(M)
Ashley Barcikowski Wolfe
(A)
Kevin Van
(K)
Diane Ladell
(D)
Ruth Grosskreuz
(R)
Lisa Steele
(L)
Maggie Flowers
(M)
Jill Popelka
(J)
Josey Hensley
(J)
Anna Ratiu
(A)
Tanaya Deshmukh
(T)
Neda Ashtari
(N)
Anne McKenzie
(A)
Denise Villarreal Chico
(DV)
Yensy Zetino
(Y)
Leighann Koch
(L)
Informations de copyright
Copyright © 2024 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.
Déclaration de conflit d'intérêts
Dr. Ames’ institution received funding from the Collaborative Pediatric Critical Care Research Network Sites (U01HD049934) and the National Institute for Child Health and Human Development (NICHD). Drs. Maddux, Fink, Meert, Zinter, Mourani, Carcillo, Carpenter, Pollack, and Sapru received support for article research from the National Institutes of Health (NIH). Dr. Maddux’s institution received funding from the NICHD (K23HD096018) and the Francis Family Foundation. Dr. Fink’s institution received funding from the Neurocritical Care Society and the American Board of Pediatrics. Drs. Fink, Meert, Mourani, Pollack, and Sapru’s institutions received funding from the NIH. Dr. Carcillo’s institution received funding from the National Institute of General Medical Sciences. Drs. Carcillo and Carpenter’s institutions received funding from the NICHD. The remaining authors have disclosed that they do not have any potential conflicts of interest.
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