Pediatr Crit Care Me
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Pediatr Crit Care Me · Dec 2023
Observational StudyEvaluation of the Resources and Inequities Among Pediatric Critical Care Facilities in Pakistan.
To evaluate nationwide pediatric critical care facilities and resources in Pakistan. ⋯ There is a general lack of resources, seen disproportionately in the public sector. The scarcity of qualified intensivists and nursing staff poses a challenge to Pakistan's PICU infrastructure.
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Pediatr Crit Care Me · Dec 2023
Mental Health Provision in PICU: An Analysis of Referrals to an Embedded Psychologist Over 20 Years at a Single Center.
The main aim of this study was to illustrate the type of mental health provision possible on PICU by describing the nature of referrals of child patients and their parents to an embedded psychologist over a 20-year period, adding to the literature on intervention and service development. ⋯ Growing appreciation of the psychological impact of a child's admission to PICU has been associated with increasing referral to an embedded psychologist over a 20-year period, at this center. Clinical and service implications are outlined in the context of the latest research on the mitigation of post-intensive care syndrome in this population.
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Pediatr Crit Care Me · Dec 2023
Family Presence at the PICU Bedside: A Single-Center Retrospective Cohort Study.
To determine factors associated with bedside family presence in the PICU and to understand how individual factors interact as barriers to family presence. ⋯ We identified sociodemographic and illness factors associated with family bedside presence in the PICU. Self-reported race modified these associations, representing racism within healthcare. Family presence at the bedside may help identify families facing greater disparities in healthcare access.
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Pediatr Crit Care Me · Dec 2023
Observational StudyPost-PICU Cognitive and Psychological Outcomes in Children Receiving Treatments for Acute Lymphoblastic Leukemia.
To examine neurocognitive and psychological outcomes associated with post-PICU admissions in children treated for childhood acute lymphoblastic leukemia (ALL). ⋯ Children with ALL, with or without a PICU admission, experienced lower cognitive and psychological outcomes following treatment. Future research is needed to continue identifying risk factors for post-intensive care syndrome (PICS-p) and post-PICU cognitive and psychological impairments in pediatric patients.