• Pediatr Crit Care Me · Oct 2022

    Functional Status and Hospital Readmission After Pediatric Critical Disease: A Year Follow-Up.

    • Ana Paula Dattein Peiter, Wohlgemuth SchaanCamilaCDepartment of Physical Therapy, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS/Brazil., Camila Campos, Jéssica Knisspell de Oliveira, Vieira RosaNathaliaNDepartment of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS/Brazil., Rayane da Silva Rodrigues, Larissa Dos Santos de Moraes, Luisa LukrafkaJaniceJGraduate Program in Pediatrics, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS/Brazil.Department of Physical Therapy, Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS/Brazil., and Salatti FerrariRenataRDepartment of Physical Therapy, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS/Brazil..
    • Department of Physical Therapy, Hospital de Clinicas de Porto Alegre, Porto Alegre, RS/Brazil.
    • Pediatr Crit Care Me. 2022 Oct 1; 23 (10): 831-835.

    ObjectivesTo evaluate the association between pediatric functional status at hospital discharge after PICU admission and hospital readmission within 1 year.DesignProspective longitudinal study.SettingTwo PICUs in tertiary hospitals in South Brazil.PatientsChildren and adolescents admitted to the PICU.InterventionsNone.Measurements And Main ResultsWe evaluated the following: clinical and sociodemographic characteristics, functional status using the Functional Status Scale-Brazil (FSS-Brazil) at baseline and at hospital discharge, and hospital readmission within 1 year. Hospital readmission risk was associated with possible related factors using Cox regression to estimate the hazard ratio (HR). A total of 196 patients completed the follow-up. At hospital discharge, 39.3% of children had some degree of decline in FSS-Brazil, and 38.3% had at least one nonelective hospital readmission within 1 year. FSS-Brazil rating at hospital discharge was associated with the risk of hospital readmission within 1 year (HR, 1.698; 95% CI, 1.016-2.838).ConclusionFSS-Brazil rating at hospital discharge, age, and length of stay were associated with greater hazard of nonelective hospital readmission within 1 year of discharge.Copyright © 2022 by the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies.

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