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Original Article
- Epidemiology
- Incidence and associated factors of pediatric post-intensive care syndrome using the VSCAREMD model
- Paweethida Tippayawong, Chanapai Chaiyakulsil
- Acute Crit Care. 2022;37(4):627-635. Published online October 19, 2022
- DOI: https://doi.org/10.4266/acc.2022.00234
- 6,778 View
- 214 Download
- 5 Web of Science
- 5 Crossref
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Abstract
PDF - Background
The VSCAREMD model is used for evaluating vaccination, sleep, and parental care burden, which includes daily activity and social interaction, rehabilitation requirements, hearing, mood, and development. It has been proposed to detect post-intensive care syndrome (PICS) in children. This study aimed to outline the incidence of PICS in children using the VSCAREMD model and to describe the associated factors.
Methods
All children ages 1 month to 15 years and admitted to the intensive care unit for at least 48 hours were evaluated using the VSCAREMD model within 1 week of intensive care discharge. Abnormal findings were assorted into four domains: physical, cognitive, mental, and social. Descriptive statistics were performed using chi-square, univariate, and multivariate analyses.
Results
A total of 78 of 95 children (82.1%) had at least one abnormal domain. Physical, cognitive, mental, and social morbidity were found in 64.2%, 26.3%, 13.7%, and 38.9% of the children, respectively. Prolonged intensive care unit stay greater than 7 days was associated with dysfunction in physical (adjusted odds ratio [aOR], 3.80; 95% confidence interval [CI], 1.31–11.00), cognitive (aOR, 10.11; 95% CI, 3.01–33.89), and social domains (aOR, 5.01; 95% CI, 2.01–12.73). Underlying medical conditions were associated with cognitive (aOR, 13.63; 95% CI, 2.64– 70.26) and social morbidity (aOR, 2.81; 95% CI, 1.06–7.47).
Conclusions
The incidence of PICS using the VSCAREMD model was substantially high and associated with prolonged intensive care. This model could help evaluate PICS in children. -
Citations
Citations to this article as recorded by
- Post-traumatic stress disorder in children after discharge from the pediatric intensive care unit: a scoping review
Maoting Tang, Ping Lei Chui, Mei Chan Chong, Xianliang Liu
European Child & Adolescent Psychiatry.2025; 34(2): 483. CrossRef - Post intensive care syndrome in paediatrics PICS-p: symptoms, severity and prevalence
Patrycja Krystyna Mazurek, Anna Aftyka
Pielegniarstwo XXI wieku / Nursing in the 21st Century.2025; 24(1): 83. CrossRef - Prevalence of Post-intensive care syndrome among intensive care unit-survivors and its association with intensive care unit length of stay: Systematic review and meta-analysis
Temesgen Ayenew, Menberu Gete, Mihretie Gedfew, Addisu Getie, Abebe Dilie Afenigus, Afework Edmealem, Haile Amha, Girma Alem, Bekele Getenet Tiruneh, Mengistu Abebe Messelu, Ramya Iyadurai
PLOS One.2025; 20(5): e0323311. CrossRef - Pain, Analgesia, Sedation, and the Developing Brain
Callie Marshall, Christopher McPherson
Pediatric Clinics of North America.2025; 72(5): 877. CrossRef - Post–intensive-care morbidity among pediatric patients in Thailand: prevalence, risk factors, and the importance of the post–intensive-care clinic
Chanapai Chaiyakulsil
Acute and Critical Care.2024; 39(4): 600. CrossRef
- Post-traumatic stress disorder in children after discharge from the pediatric intensive care unit: a scoping review
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