TY - JOUR
T1 - Long-term Pain Symptomatology in PICU Survivors Aged 8–18 Years
AU - Holley, Amy L.
AU - Battison, Eleanor A.J.
AU - Heierle, Jessica
AU - Clohessy, Denae
AU - Wesemann, Dalton
AU - Hall, Trevor
AU - Orwoll, Ben
AU - Wilson, Anna C.
AU - Williams, Cydni
N1 - Publisher Copyright:
Copyright © 2023 by the American Academy of Pediatrics.
PY - 2023/7
Y1 - 2023/7
N2 - BACKGROUND AND OBJECTIVES: Children discharged from the PICU often experience long-term physical, psychological, social and cognitive challenges, described as postintensive care syndrome. This study fills a critical gap by describing the long-term pain symptoms many children experience using child self-report. METHODS: Participants in this cross-sectional study were children aged 8 to 18 years (and 1 parent, n 5 64 dyads) who were 8 to 24 months post-PICU discharge. Participants completed measures assessing pain, psychosocial function, and treatment utilization. Health information relevant to the PICU admission was obtained from the electronic medical record. RESULTS: Children were an average age of 14.3 years and 50% female. Average pain intensity in the past month was 3.65 (0–10 numeric rating scale), with 36% of children reporting pain $2 to 3 days a week. Youth with higher intensity ($4) and more frequent pain ($2–3 days a week) had greater pain catastrophizing, pain-related fear, anxiety, and sleep disturbance than those with less frequent and intense pain. Higher pain frequency was also associated with greater pain-related disability and depressive symptoms. Pain was not associated with any PICU-related variables abstracted from the electronic medical record. Parents reported children frequently accessed pain treatment services postdischarge; however, 37.5% reported the coronavirus disease 2019 pandemic impacted access to recommended services. CONCLUSIONS: A significant portion of children experience pain post-PICU discharge. For many of these children, pain is frequent and is associated with impairments in psychosocial function. Future prospective research studies can be used to identify risk factors of poor pain outcomes so children can receive targeted interventions.
AB - BACKGROUND AND OBJECTIVES: Children discharged from the PICU often experience long-term physical, psychological, social and cognitive challenges, described as postintensive care syndrome. This study fills a critical gap by describing the long-term pain symptoms many children experience using child self-report. METHODS: Participants in this cross-sectional study were children aged 8 to 18 years (and 1 parent, n 5 64 dyads) who were 8 to 24 months post-PICU discharge. Participants completed measures assessing pain, psychosocial function, and treatment utilization. Health information relevant to the PICU admission was obtained from the electronic medical record. RESULTS: Children were an average age of 14.3 years and 50% female. Average pain intensity in the past month was 3.65 (0–10 numeric rating scale), with 36% of children reporting pain $2 to 3 days a week. Youth with higher intensity ($4) and more frequent pain ($2–3 days a week) had greater pain catastrophizing, pain-related fear, anxiety, and sleep disturbance than those with less frequent and intense pain. Higher pain frequency was also associated with greater pain-related disability and depressive symptoms. Pain was not associated with any PICU-related variables abstracted from the electronic medical record. Parents reported children frequently accessed pain treatment services postdischarge; however, 37.5% reported the coronavirus disease 2019 pandemic impacted access to recommended services. CONCLUSIONS: A significant portion of children experience pain post-PICU discharge. For many of these children, pain is frequent and is associated with impairments in psychosocial function. Future prospective research studies can be used to identify risk factors of poor pain outcomes so children can receive targeted interventions.
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U2 - 10.1542/hpeds.2022-007027
DO - 10.1542/hpeds.2022-007027
M3 - Article
C2 - 37357737
AN - SCOPUS:85181249464
SN - 2154-1663
VL - 13
SP - 641
EP - 651
JO - Hospital pediatrics
JF - Hospital pediatrics
IS - 7
ER -