• Erin F Carlton, Neethi Pinto, McKenna Smith, Ericka L Fink, R Scott Watson, K Sarah Hoehn, Neelima Marupudi, Leslie A Dervan, Mellanye Lackey, Melissa Ringwood, Aline B Maddux, and the POST-PICU Investigators of the PALISI Network and the Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pedi.
• Division of Critical Care Medicine, Department of Pediatrics, University of Michigan, Ann Arbor, MI.
• Pediatr Crit Care Me. 2021 Dec 1; 22 (12): 106110711061-1071.

ObjectivesFamilies identify overall health as a key outcome after pediatric critical illness. We conducted a planned secondary analysis of a scoping review to determine the methods, populations, and instruments used to evaluate overall health outcomes for both children and their families after critical illness.DesignPlanned Secondary Analysis of a Scoping Review.SettingWe searched PubMed, EMBASE, PsycINFO, Cumulative Index of Nursing and Allied Health Literature, and the Cochrane Controlled Trials Registry databases from 1970 to 2017 to identify studies which measured postdischarge overall health of children who survived critical illness and their families.SubjectsArticles reporting overall health outcomes after pediatric critical illness.InterventionsNone.Measurements And Main ResultsAmong the 407 articles which measured outcomes following pediatric critical illness, 161 (40%) measured overall health. The overall health domain was most commonly measured in traumatic brain injury (44%) and the general PICU populations (16%). In total, there were 39 unique measures used to evaluate overall health. Across all subjects, seven measures accounted for 89% of instruments, with the Glasgow Outcome Scale (47%) and the Pediatric Overall Performance Category (17%) being most commonly used. Excluding studies targeting survivors of traumatic brain injury, Pediatric Overall Performance Category, Glasgow Outcome Scale, and the General Health Questionnaire were the most commonly used instruments. Patients were followed for a median 10.5 months (interquartile range, 4.5-21 mo).ConclusionsOverall health was commonly assessed post-PICU discharge, especially in the traumatic brain injury population, using a heterogenous array of measures. Evaluation and consensus are imperative to identify the most appropriate method to measure overall health with the goal of improving care efficacy and facilitating recovery across populations of critically ill children.Copyright © 2021 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

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