• Nicholas J Bartel, David W Boyle, Abbey C Hines, Angela M Tomlin, Mara E Nitu, Dorota Szczepaniak, and Samer M A Abu-Sultaneh.
• Department of Pediatrics, Indiana University Schoolof Medicine, Indianapolis, IN.
• Pediatr Crit Care Me. 2022 Apr 1; 23 (4): e219e223e219-e223.

ObjectivesWith decreasing PICU mortality, survivor morbidity has increased. This study aims to evaluate feasibility of virtual PICU-led follow-up of patients at risk for pediatric postintensive care syndrome.DesignProspective cohort study.SettingSingle-center, quaternary children's hospital.PatientsChildren less than or equal to 4 years without known preexisting neurodevelopmental deficits requiring greater than or equal to 12 hours mechanical ventilation.InterventionsNone.Measurements And Main ResultsAge-appropriate Ages and Stages Questionnaires, Third Edition (ASQ-3) were administered via a web-based system at 3, 6, and 12 months following PICU discharge. Primary-care physicians were notified of results; at-risk patients were referred to early developmental intervention. Forty-eight patients enrolled with median age 11.5 months (interquartile range [IQR], 2-19.5 mo) and median mechanical ventilation duration 92.5 hours (IQR, 40.5-147 hr). Fifty-eight percent completed greater than or equal to 1 ASQ-3. Lower caregiver educational achievement, lower income, and single-caregiver status were associated with lower ASQ-3 completion rates. Of those completing any ASQ-3, 50% flagged as at-risk for developmental delay and referred to early developmental intervention. There was no association between patient characteristics and abnormal ASQ-3.ConclusionsVirtual caregiver-completed surveillance is a promising method to screen children for neurodevelopmental abnormalities following PICU hospitalization and facilitate early referral for developmental intervention, but special attention must be dedicated to families with limited resources for follow-up.Copyright © 2022 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

30 keywords...

hide…