Pediatric intensive care unit follow-up: Thinking before acting

Guillaume Mortamet; Sandrine Birsan; Justine Zini; Luc Morin; Karine Kolev; Sonia Pelluau; Marie Pouletty; Denis Thiberghien; Sophie Beldjilali; Olivier Brissaud; Christophe Milési; Camille Brotelande; Audrey Dupont; Marion Giraud; Sophie Ariane Hassid; Michael Tsapis; Aben Essid; Clélia Villemain; Sandrine De Sampaio; Sarah Troff; Delphine Micaelli; Michael Levy

doi:10.1016/j.accpm.2024.101401

Pediatric intensive care unit follow-up: Thinking before acting

Anaesth Crit Care Pain Med. 2024 Aug;43(4):101401. doi: 10.1016/j.accpm.2024.101401. Epub 2024 May 31.

Authors

Guillaume Mortamet¹, Sandrine Birsan², Justine Zini³, Luc Morin⁴, Karine Kolev⁵, Sonia Pelluau⁶, Marie Pouletty⁷, Denis Thiberghien⁸, Sophie Beldjilali⁹, Olivier Brissaud¹⁰, Christophe Milési¹¹, Camille Brotelande¹², Audrey Dupont¹³, Marion Giraud¹⁴, Sophie Ariane Hassid¹⁵, Michael Tsapis¹⁶, Aben Essid¹⁷, Clélia Villemain¹⁸, Sandrine De Sampaio¹⁹, Sarah Troff²⁰, Delphine Micaelli²¹, Michael Levy²²

Affiliations

¹ Pediatric Intensive Care Unit, Grenoble-Alpes University Hospital, La Tronche, France; Univ. Grenoble Alpes, Grenoble, France. Electronic address: [email protected].
² Pediatric Intensive Care Unit, Bordeaux University Hospital, Bordeaux, France. Electronic address: [email protected].
³ Pediatric Intensive Care Unit, Raymond Poincaré Hospital, Assistance Publique des Hôpitaux de Paris, Garches, France. Electronic address: [email protected].
⁴ Pediatric and Neonatal Intensive Care Unit, DMU3 Santé de l'enfant, Bicêtre Université Paris Saclay Hospital, Assistance Publique des Hôpitaux de Paris, Le Kremlin-Bicêtre, France. Electronic address: [email protected].
⁵ Pediatric Intensive Care Unit, Hospital for Mother, Women and Children, Lyon, France. Electronic address: [email protected].
⁶ Pediatric Intensive Care Unit, Purpan Hospital, Toulouse, France. Electronic address: [email protected].
⁷ Pediatric Intensive Care Unit, Necker Hospital, Assistance Publique des Hôpitaux de Paris, Paris, France. Electronic address: [email protected].
⁸ Child Psychiatry Unit, Raymond Poincaré Hospital, Assistance Publique des Hôpitaux de Paris, Garches, France. Electronic address: [email protected].
⁹ Pediatric Intensive Care Unit, Montpellier University Hospital, Montpellier, France. Electronic address: [email protected].
¹⁰ Pediatric Intensive Care Unit, Bordeaux University Hospital, Bordeaux, France. Electronic address: [email protected].
¹¹ Pediatric Intensive Care Unit, Montpellier University Hospital, Montpellier, France. Electronic address: [email protected].
¹² Pediatric Intensive Care Unit, Montpellier University Hospital, Montpellier, France. Electronic address: [email protected].
¹³ Pediatric Intensive Care Unit, Fondation Lenval, Nice, France. Electronic address: [email protected].
¹⁴ Pediatric Intensive Care Unit, Purpan Hospital, Toulouse, France. Electronic address: [email protected].
¹⁵ Pediatric Intensive Care Unit, Timone Hospital, Assistance Publique des Hôpitaux de Marseille, Marseille, France. Electronic address: [email protected].
¹⁶ Pediatric Intensive Care Unit, Timone Hospital, Assistance Publique des Hôpitaux de Marseille, Marseille, France. Electronic address: [email protected].
¹⁷ Pediatric Intensive Care Unit, Raymond Poincaré Hospital, Assistance Publique des Hôpitaux de Paris, Garches, France. Electronic address: [email protected].
¹⁸ Pediatric Intensive Care Unit, Raymond Poincaré Hospital, Assistance Publique des Hôpitaux de Paris, Garches, France. Electronic address: [email protected].
¹⁹ Pediatric Intensive Care Unit, Reims University Hospital, Reims, France. Electronic address: [email protected].
²⁰ Pediatric Intensive Care Unit, Raymond Poincaré Hospital, Assistance Publique des Hôpitaux de Paris, Garches, France. Electronic address: [email protected].
²¹ Pediatric Intensive Care Unit, Robert-Debré Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France. Electronic address: [email protected].
²² Pediatric Intensive Care Unit, Robert-Debré Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France; Université Paris Cité, Paris, France. Electronic address: [email protected].

PMID: 38823635
DOI: 10.1016/j.accpm.2024.101401

Abstract

Objective: It is now well established that post-intensive care syndrome is frequent in critically ill children after discharge from the pediatric intensive care unit (PICU). Nevertheless, post-intensive care follow-up is highly heterogenous worldwide and is not considered routine care in many countries. The purpose of this viewpoint was to report the reflections of the French PICU society working group on how to implement post-PICU follow-up.

Methods: A working group was set up within the Groupe Francophone de Reanimation et d'Urgences Pédiatriques (GFRUP) to provide conceptual and practical guidance for developing post-PICU follow-up. The working group included psychologists, PICU physicians, physiotherapists, and nurses, from different French PICUs. Five virtual meetings have been held.

Results: First, we described in this work the objectives of the follow-up program and the population to be targeted. We also provided a framework to implement post-PICU follow-up in clinical practice. Finally, we detailed the potential obstacles and challenges to consider.

Conclusion: Although implementing a post-PICU follow-up program is a challenge, the benefits could be significant for both patient and relatives, as well as for the health care professionals involved.

Keywords: Follow-up; Pediatric; Pediatric intensive care unit; Post-intensive care syndrome.

MeSH terms

Aftercare / methods
Child
Child, Preschool
Critical Care / methods
Critical Illness
Follow-Up Studies
France
Humans
Intensive Care Units, Pediatric*
Patient Discharge

Supplementary concepts

postintensive care syndrome