• Pediatr Crit Care Me · Jan 2018

    Psychological and Psychiatric Outcomes Following PICU Admission: A Systematic Review of Cohort Studies.

    • Luís Carlos Lopes-Júnior, Maria Antonia Dos Reis de Paula Rosa, and Regina Aparecida Garcia de Lima.
    • Department of Maternal-Infant and Public Health Nursing, University of São Paulo at Ribeirão Preto College of Nursing-PAHO/WHO Collaborating Centre for Nursing Research Development, São Paulo, Brazil.
    • Pediatr Crit Care Me. 2018 Jan 1; 19 (1): e58-e67.

    ObjectiveAdmissions to PICU places pediatric patients at increased risk of persistent psychological and psychiatric morbidity. This systematic review aimed to summarize and critically examine literature regarding psychological and psychiatric outcomes of pediatric patients following PICU admission.Data SourcesMEDLINE, Web of Science, Cochrane Library, Science Direct, PsycInfo, CINAHL, LILACS, and SciELO were searched up to May 2016.Study SelectionCohort studies about psychological and psychiatric outcomes of pediatric patients following PICU admission; full-text records published in English, Spanish, or Portuguese in peer-reviewed journals from 2000 to 2015 were included. Neonatal patient population (age, <1 mo), follow-up after PICU discharge (<3 mo), and nonprimary literature were excluded. Two reviewers independently screened studies based on the predetermined exclusion criteria.Data ExtractionData were extracted using an adapted tool. The internal validity and risk of bias were assessed using Newcastle-Ottawa Scale.Data SynthesisThe search yielded 1,825 studies after the removal of duplications, of which eight met the inclusion criteria. Methodologic quality of the studies ranged from low to high, with an average score of five of nine. Of all the studies, half had a control group. Regarding the length of follow-up, most of the studies ranged from 3 to 12 months.ConclusionsPsychological and psychiatric outcomes after pediatric critical illness appear to be substantial issues that need to be further studied. Our review highlights the need for psychological screening of pediatric patients and their parents following PICU admission since these patients are a vulnerable population at risk for developing psychiatric responses.

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