PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians.
Identifieur interne : 000499 ( Main/Exploration ); précédent : 000498; suivant : 000500PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians.
Auteurs : Amery Treble-Barna [États-Unis] ; Sue R. Beers [États-Unis] ; Amy J. Houtrow [États-Unis] ; Roberto Ortiz-Aguayo [États-Unis] ; Cynthia Valenta [États-Unis] ; Meg Stanger [États-Unis] ; Maddie Chrisman [États-Unis] ; Maxine Orringer [États-Unis] ; Craig M. Smith [États-Unis] ; Dorothy Pollon [États-Unis] ; Mark Duffett [Canada] ; Karen Choong [Canada] ; R Scott Watson [États-Unis] ; Patrick M. Kochanek [États-Unis] ; Ericka L. Fink [États-Unis]Source :
- Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies [ 1529-7535 ] ; 2019.
Descripteurs français
- KwdFr :
- Attitude du personnel soignant (MeSH), Guides de bonnes pratiques cliniques comme sujet (MeSH), Humains (MeSH), Médecins (psychologie), Réadaptation (normes), Réadaptation (organisation et administration), Soins de réanimation (MeSH), Unités de soins intensifs pédiatriques (organisation et administration), États-Unis (MeSH), Études transversales (MeSH).
- MESH :
- normes : Réadaptation.
- organisation et administration : Réadaptation, Unités de soins intensifs pédiatriques.
- psychologie : Médecins.
- Attitude du personnel soignant, Guides de bonnes pratiques cliniques comme sujet, Humains, Soins de réanimation, États-Unis, Études transversales.
- Wicri :
- geographic : États-Unis.
English descriptors
- KwdEn :
- Attitude of Health Personnel (MeSH), Critical Care (MeSH), Cross-Sectional Studies (MeSH), Humans (MeSH), Intensive Care Units, Pediatric (organization & administration), Physicians (psychology), Practice Guidelines as Topic (MeSH), Rehabilitation (organization & administration), Rehabilitation (standards), United States (MeSH).
- MESH :
- geographic : United States.
- organization & administration : Intensive Care Units, Pediatric, Rehabilitation.
- psychology : Physicians.
- standards : Rehabilitation.
- Attitude of Health Personnel, Critical Care, Cross-Sectional Studies, Humans, Practice Guidelines as Topic.
Abstract
OBJECTIVES
Characterize current practices for PICU-based rehabilitation, and physician perceptions and attitudes, barriers, resources, and outcome assessment in contemporary PICU settings.
DESIGN
International, self-administered, quantitative, cross-sectional survey.
SETTING
Online survey distributed from March 2017 to April 2017.
PATIENTS OR SUBJECTS
Pediatric critical care physicians who subscribed to email distribution lists of the Pediatric Acute Lung Injury and Sepsis Investigators, the Pediatric Neurocritical Care Research Group, or the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment study group, and visitors to the World Federation of Pediatric Intensive and Critical Care Societies website.
INTERVENTIONS
None.
MEASUREMENTS AND MAIN RESULTS
Of the 170 subjects who began the survey, 148 completed it. Of those who completed the optional respondent information, most reported working in an academic medical setting and were located in the United States. The main findings were 1) a large majority of PICU physicians reported working in institutions with no guidelines for PICU-based rehabilitation, but expressed interest in developing and implementing such guidelines; 2) despite this lack of guidelines, an overwhelming majority of respondents reported that their current practices would involve consultation of multiple rehabilitation services for each case example provided; 3) PICU physicians believed that additional research evidence is needed to determine efficacy and optimal implementation of PICU-based rehabilitation; 4) PICU physicians reported significant barriers to implementation of PICU-based rehabilitation across centers; and 5) low routine assessment of long-term functional outcomes of PICU patients, although some centers have developed multidisciplinary follow-up programs.
CONCLUSIONS
Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.
DOI: 10.1097/PCC.0000000000001940
PubMed: 30946294
PubMed Central: PMC7132781
Affiliations:
- Canada, États-Unis
- Illinois, Ontario, Pennsylvanie, Washington (État)
- Hamilton (Ontario)
- Université McMaster
Links toward previous steps (curation, corpus...)
Le document en format XML
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Smith</name><affiliation wicri:level="2"><nlm:affiliation>Division of Critical Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Division of Critical Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Pollon, Dorothy" sort="Pollon, Dorothy" uniqKey="Pollon D" first="Dorothy" last="Pollon">Dorothy Pollon</name><affiliation wicri:level="2"><nlm:affiliation>Children's Hospital of Pittsburgh Foundation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Children's Hospital of Pittsburgh Foundation, UPMC Children's Hospital of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Duffett, Mark" sort="Duffett, Mark" uniqKey="Duffett M" first="Mark" last="Duffett">Mark Duffett</name><affiliation wicri:level="4"><nlm:affiliation>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Choong, Karen" sort="Choong, Karen" uniqKey="Choong K" first="Karen" last="Choong">Karen Choong</name><affiliation wicri:level="4"><nlm:affiliation>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Watson, R Scott" sort="Watson, R Scott" uniqKey="Watson R" first="R Scott" last="Watson">R Scott Watson</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Department of Pediatrics, University of Washington School of Medicine, Seattle</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle</wicri:cityArea></affiliation></author><author><name sortKey="Kochanek, Patrick M" sort="Kochanek, Patrick M" uniqKey="Kochanek P" first="Patrick M" last="Kochanek">Patrick M. Kochanek</name><affiliation wicri:level="2"><nlm:affiliation>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Fink, Ericka L" sort="Fink, Ericka L" uniqKey="Fink E" first="Ericka L" last="Fink">Ericka L. 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Beers</name><affiliation wicri:level="2"><nlm:affiliation>Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Houtrow, Amy J" sort="Houtrow, Amy J" uniqKey="Houtrow A" first="Amy J" last="Houtrow">Amy J. Houtrow</name><affiliation wicri:level="2"><nlm:affiliation>Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Ortiz Aguayo, Roberto" sort="Ortiz Aguayo, Roberto" uniqKey="Ortiz Aguayo R" first="Roberto" last="Ortiz-Aguayo">Roberto Ortiz-Aguayo</name><affiliation wicri:level="2"><nlm:affiliation>Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia</wicri:cityArea></affiliation></author><author><name sortKey="Valenta, Cynthia" sort="Valenta, Cynthia" uniqKey="Valenta C" first="Cynthia" last="Valenta">Cynthia Valenta</name><affiliation wicri:level="2"><nlm:affiliation>Professional Practice and Education Division, Jefferson Hospital, Jefferson Hills, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Professional Practice and Education Division, Jefferson Hospital, Jefferson Hills</wicri:cityArea></affiliation></author><author><name sortKey="Stanger, Meg" sort="Stanger, Meg" uniqKey="Stanger M" first="Meg" last="Stanger">Meg Stanger</name><affiliation wicri:level="2"><nlm:affiliation>Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Chrisman, Maddie" sort="Chrisman, Maddie" uniqKey="Chrisman M" first="Maddie" last="Chrisman">Maddie Chrisman</name><affiliation wicri:level="2"><nlm:affiliation>Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Orringer, Maxine" sort="Orringer, Maxine" uniqKey="Orringer M" first="Maxine" last="Orringer">Maxine Orringer</name><affiliation wicri:level="2"><nlm:affiliation>Department of Audiology and Speech-Language Pathology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Audiology and Speech-Language Pathology, UPMC Children's Hospital of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Smith, Craig M" sort="Smith, Craig M" uniqKey="Smith C" first="Craig M" last="Smith">Craig M. Smith</name><affiliation wicri:level="2"><nlm:affiliation>Division of Critical Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Division of Critical Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Pollon, Dorothy" sort="Pollon, Dorothy" uniqKey="Pollon D" first="Dorothy" last="Pollon">Dorothy Pollon</name><affiliation wicri:level="2"><nlm:affiliation>Children's Hospital of Pittsburgh Foundation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Children's Hospital of Pittsburgh Foundation, UPMC Children's Hospital of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Duffett, Mark" sort="Duffett, Mark" uniqKey="Duffett M" first="Mark" last="Duffett">Mark Duffett</name><affiliation wicri:level="4"><nlm:affiliation>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Choong, Karen" sort="Choong, Karen" uniqKey="Choong K" first="Karen" last="Choong">Karen Choong</name><affiliation wicri:level="4"><nlm:affiliation>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON</wicri:regionArea><orgName type="university">Université McMaster</orgName><placeName><settlement type="city">Hamilton (Ontario)</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Watson, R Scott" sort="Watson, R Scott" uniqKey="Watson R" first="R Scott" last="Watson">R Scott Watson</name><affiliation wicri:level="2"><nlm:affiliation>Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Department of Pediatrics, University of Washington School of Medicine, Seattle</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Washington (État)</region></placeName><wicri:cityArea>Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle</wicri:cityArea></affiliation></author><author><name sortKey="Kochanek, Patrick M" sort="Kochanek, Patrick M" uniqKey="Kochanek P" first="Patrick M" last="Kochanek">Patrick M. Kochanek</name><affiliation wicri:level="2"><nlm:affiliation>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author><author><name sortKey="Fink, Ericka L" sort="Fink, Ericka L" uniqKey="Fink E" first="Ericka L" last="Fink">Ericka L. Fink</name><affiliation wicri:level="2"><nlm:affiliation>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh</wicri:cityArea></affiliation><affiliation wicri:level="2"><nlm:affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><placeName><region type="state">Pennsylvanie</region></placeName><wicri:cityArea>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh</wicri:cityArea></affiliation></author></analytic><series><title level="j">Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies</title><idno type="ISSN">1529-7535</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Attitude of Health Personnel (MeSH)</term><term>Critical Care (MeSH)</term><term>Cross-Sectional Studies (MeSH)</term><term>Humans (MeSH)</term><term>Intensive Care Units, Pediatric (organization & administration)</term><term>Physicians (psychology)</term><term>Practice Guidelines as Topic (MeSH)</term><term>Rehabilitation (organization & administration)</term><term>Rehabilitation (standards)</term><term>United States (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Attitude du personnel soignant (MeSH)</term><term>Guides de bonnes pratiques cliniques comme sujet (MeSH)</term><term>Humains (MeSH)</term><term>Médecins (psychologie)</term><term>Réadaptation (normes)</term><term>Réadaptation (organisation et administration)</term><term>Soins de réanimation (MeSH)</term><term>Unités de soins intensifs pédiatriques (organisation et administration)</term><term>États-Unis (MeSH)</term><term>Études transversales (MeSH)</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>United States</term></keywords><keywords scheme="MESH" qualifier="normes" xml:lang="fr"><term>Réadaptation</term></keywords><keywords scheme="MESH" qualifier="organisation et administration" xml:lang="fr"><term>Réadaptation</term><term>Unités de soins intensifs pédiatriques</term></keywords><keywords scheme="MESH" qualifier="organization & administration" xml:lang="en"><term>Intensive Care Units, Pediatric</term><term>Rehabilitation</term></keywords><keywords scheme="MESH" qualifier="psychologie" xml:lang="fr"><term>Médecins</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Physicians</term></keywords><keywords scheme="MESH" qualifier="standards" xml:lang="en"><term>Rehabilitation</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Attitude of Health Personnel</term><term>Critical Care</term><term>Cross-Sectional Studies</term><term>Humans</term><term>Practice Guidelines as Topic</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Attitude du personnel soignant</term><term>Guides de bonnes pratiques cliniques comme sujet</term><term>Humains</term><term>Soins de réanimation</term><term>États-Unis</term><term>Études transversales</term></keywords><keywords scheme="Wicri" type="geographic" xml:lang="fr"><term>États-Unis</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>OBJECTIVES</b></p><p>Characterize current practices for PICU-based rehabilitation, and physician perceptions and attitudes, barriers, resources, and outcome assessment in contemporary PICU settings.</p></div><div type="abstract" xml:lang="en"><p><b>DESIGN</b></p><p>International, self-administered, quantitative, cross-sectional survey.</p></div><div type="abstract" xml:lang="en"><p><b>SETTING</b></p><p>Online survey distributed from March 2017 to April 2017.</p></div><div type="abstract" xml:lang="en"><p><b>PATIENTS OR SUBJECTS</b></p><p>Pediatric critical care physicians who subscribed to email distribution lists of the Pediatric Acute Lung Injury and Sepsis Investigators, the Pediatric Neurocritical Care Research Group, or the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment study group, and visitors to the World Federation of Pediatric Intensive and Critical Care Societies website.</p></div><div type="abstract" xml:lang="en"><p><b>INTERVENTIONS</b></p><p>None.</p></div><div type="abstract" xml:lang="en"><p><b>MEASUREMENTS AND MAIN RESULTS</b></p><p>Of the 170 subjects who began the survey, 148 completed it. Of those who completed the optional respondent information, most reported working in an academic medical setting and were located in the United States. The main findings were 1) a large majority of PICU physicians reported working in institutions with no guidelines for PICU-based rehabilitation, but expressed interest in developing and implementing such guidelines; 2) despite this lack of guidelines, an overwhelming majority of respondents reported that their current practices would involve consultation of multiple rehabilitation services for each case example provided; 3) PICU physicians believed that additional research evidence is needed to determine efficacy and optimal implementation of PICU-based rehabilitation; 4) PICU physicians reported significant barriers to implementation of PICU-based rehabilitation across centers; and 5) low routine assessment of long-term functional outcomes of PICU patients, although some centers have developed multidisciplinary follow-up programs.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">30946294</PMID><DateCompleted><Year>2020</Year><Month>07</Month><Day>06</Day></DateCompleted><DateRevised><Year>2020</Year><Month>07</Month><Day>06</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Print">1529-7535</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>6</Issue><PubDate><Year>2019</Year><Month>06</Month></PubDate></JournalIssue><Title>Pediatric critical care medicine : a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies</Title><ISOAbbreviation>Pediatr Crit Care Med</ISOAbbreviation></Journal><ArticleTitle>PICU-Based Rehabilitation and Outcomes Assessment: A Survey of Pediatric Critical Care Physicians.</ArticleTitle><Pagination><MedlinePgn>e274-e282</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/PCC.0000000000001940</ELocationID><Abstract><AbstractText Label="OBJECTIVES">Characterize current practices for PICU-based rehabilitation, and physician perceptions and attitudes, barriers, resources, and outcome assessment in contemporary PICU settings.</AbstractText><AbstractText Label="DESIGN">International, self-administered, quantitative, cross-sectional survey.</AbstractText><AbstractText Label="SETTING">Online survey distributed from March 2017 to April 2017.</AbstractText><AbstractText Label="PATIENTS OR SUBJECTS">Pediatric critical care physicians who subscribed to email distribution lists of the Pediatric Acute Lung Injury and Sepsis Investigators, the Pediatric Neurocritical Care Research Group, or the Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment study group, and visitors to the World Federation of Pediatric Intensive and Critical Care Societies website.</AbstractText><AbstractText Label="INTERVENTIONS">None.</AbstractText><AbstractText Label="MEASUREMENTS AND MAIN RESULTS">Of the 170 subjects who began the survey, 148 completed it. Of those who completed the optional respondent information, most reported working in an academic medical setting and were located in the United States. The main findings were 1) a large majority of PICU physicians reported working in institutions with no guidelines for PICU-based rehabilitation, but expressed interest in developing and implementing such guidelines; 2) despite this lack of guidelines, an overwhelming majority of respondents reported that their current practices would involve consultation of multiple rehabilitation services for each case example provided; 3) PICU physicians believed that additional research evidence is needed to determine efficacy and optimal implementation of PICU-based rehabilitation; 4) PICU physicians reported significant barriers to implementation of PICU-based rehabilitation across centers; and 5) low routine assessment of long-term functional outcomes of PICU patients, although some centers have developed multidisciplinary follow-up programs.</AbstractText><AbstractText Label="CONCLUSIONS">Physicians lack PICU-based rehabilitation guidelines despite great interest and current practices involving a high degree of PICU-based rehabilitation consultation. Data are needed to identify best practices and necessary resources in the delivery of ICU-based multidisciplinary rehabilitation and long-term functional outcomes assessment to optimize recovery of children and families affected by critical illness.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Treble-Barna</LastName><ForeName>Amery</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Beers</LastName><ForeName>Sue R</ForeName><Initials>SR</Initials><AffiliationInfo><Affiliation>Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Houtrow</LastName><ForeName>Amy J</ForeName><Initials>AJ</Initials><AffiliationInfo><Affiliation>Department of Physical Medicine and Rehabilitation, University of Pittsburgh School of Medicine, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ortiz-Aguayo</LastName><ForeName>Roberto</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Child and Adolescent Psychiatry and Behavioral Sciences, The Children's Hospital of Philadelphia, Philadelphia, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Valenta</LastName><ForeName>Cynthia</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Professional Practice and Education Division, Jefferson Hospital, Jefferson Hills, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Stanger</LastName><ForeName>Meg</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chrisman</LastName><ForeName>Maddie</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Physical Therapy, University of Pittsburgh Medical Center, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Orringer</LastName><ForeName>Maxine</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Audiology and Speech-Language Pathology, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Smith</LastName><ForeName>Craig M</ForeName><Initials>CM</Initials><AffiliationInfo><Affiliation>Division of Critical Care, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pollon</LastName><ForeName>Dorothy</ForeName><Initials>D</Initials><AffiliationInfo><Affiliation>Children's Hospital of Pittsburgh Foundation, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Duffett</LastName><ForeName>Mark</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Choong</LastName><ForeName>Karen</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Departments of Pediatrics and Critical Care, McMaster University, Hamilton, ON, Canada.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, ON, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Watson</LastName><ForeName>R Scott</ForeName><Initials>RS</Initials><AffiliationInfo><Affiliation>Department of Pediatrics, University of Washington School of Medicine, Seattle, WA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Center for Child Health, Behavior, and Development, Seattle Children's Research Institute, Seattle, WA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kochanek</LastName><ForeName>Patrick M</ForeName><Initials>PM</Initials><AffiliationInfo><Affiliation>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fink</LastName><ForeName>Ericka L</ForeName><Initials>EL</Initials><AffiliationInfo><Affiliation>Department of Critical Care Medicine, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Safar Center for Resuscitation Research, University of Pittsburgh School of Medicine, Pittsburgh, PA.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><CollectiveName>PICU-Rehabilitation Study Group, Pediatric Acute Lung Injury and Sepsis Investigators (PALISI) Network, and Prevalence of Acute critical Neurological disease in children: A Global Epidemiological Assessment (PANGEA) Investigators</CollectiveName></Author></AuthorList><Language>eng</Language><DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName><AccessionNumberList><AccessionNumber>NCT02209935</AccessionNumber></AccessionNumberList></DataBank></DataBankList><GrantList CompleteYN="Y"><Grant><GrantID>R01 NS096714</GrantID><Acronym>NS</Acronym><Agency>NINDS NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>T32 HD040686</GrantID><Acronym>HD</Acronym><Agency>NICHD NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Pediatr Crit Care Med</MedlineTA><NlmUniqueID>100954653</NlmUniqueID><ISSNLinking>1529-7535</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="CommentIn"><RefSource>Pediatr Crit Care Med. 2019 Jun;20(6):586-587</RefSource><PMID Version="1">31162359</PMID></CommentsCorrections></CommentsCorrectionsList><MeshHeadingList><MeshHeading><DescriptorName UI="D001291" MajorTopicYN="Y">Attitude of 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