Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study
Introduction: a significant number of children suffer cognitive, physical, mental and social limitations as a result of critical illnesses and their subsequent treatment. Pollack et al. developed the functional status scale with the purpose of measuring the change in functional status during hospita...
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| Formato: | Artículo revista |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2025
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| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/45328 |
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I10-R327-article-45328 |
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Universidad Nacional de Córdoba |
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Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
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Artículo revista |
| topic |
morbidity functional status scale pediatrics critical care morbilidad pediatría cuidados intensivos morbidade escala do estado funcional pediatria cuidado intensivos |
| spellingShingle |
morbidity functional status scale pediatrics critical care morbilidad pediatría cuidados intensivos morbidade escala do estado funcional pediatria cuidado intensivos Frydman, Judith López, Mara Inés Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| topic_facet |
morbidity functional status scale pediatrics critical care morbilidad pediatría cuidados intensivos morbidade escala do estado funcional pediatria cuidado intensivos |
| author |
Frydman, Judith López, Mara Inés |
| author_facet |
Frydman, Judith López, Mara Inés |
| author_sort |
Frydman, Judith |
| title |
Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| title_short |
Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| title_full |
Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| title_fullStr |
Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| title_full_unstemmed |
Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| title_sort |
incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study |
| description |
Introduction: a significant number of children suffer cognitive, physical, mental and social limitations as a result of critical illnesses and their subsequent treatment. Pollack et al. developed the functional status scale with the purpose of measuring the change in functional status during hospitalization.
Objectives: evaluate the acquired morbidity upon discharge from the Pediatric Intensive Care Unit (PICU). Specific objectives: compare mortality and acquired morbidity rates, analyze changes in functional status categories, identify the most affected domains, describe relationships between domain affection and admission diagnosis, between domain affection and age group, between morbidity and days in invasive mechanical ventilation (IMV), non-invasive ventilation and high-flow oxygen therapy.
Methodology: observational, descriptive, prospective and longitudinal study. Patients between 1 and 180 months of age requiring ventilatory support for at least 48 hours, between February 2021 and February 2024, were included.
Results: 90.9% survived, and of these, 26.9% developed acquired morbidity. The 42% of patients changed their functional status at least one point. The most affected domains were motor and feeding. Those who died had fewer days of IMV and hospitalization.
Conclusion: The incidence of acquired morbidity was higher than mortality in the analyzed period. Children who developed morbidity remained hospitalized for a longer period of time and had greater requirements and days of IMV. Increased survival makes mortality an insufficient outcome metric. More studies with longer follow-up are needed. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2025 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/45328 |
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I10-R327-article-453282025-03-31T17:43:04Z Incidence of acquired morbidity and its impact on patients in a pediatric intensive care unit based on the functional status scale: descriptive, observational study Morbilidad adquirida y su impacto en pacientes de una unidad de cuidados intensivos pediátricos basada en la escala de estado funcional: estudio descriptivo, observacional Incidência de morbidade adquirida e seu impacto em pacientes de unidade de terapia intensiva pediátrica com base na escala de status funcional: estudo descritivo e observacional Frydman, Judith López, Mara Inés morbidity functional status scale pediatrics critical care morbilidad pediatría cuidados intensivos morbidade escala do estado funcional pediatria cuidado intensivos Introduction: a significant number of children suffer cognitive, physical, mental and social limitations as a result of critical illnesses and their subsequent treatment. Pollack et al. developed the functional status scale with the purpose of measuring the change in functional status during hospitalization. Objectives: evaluate the acquired morbidity upon discharge from the Pediatric Intensive Care Unit (PICU). Specific objectives: compare mortality and acquired morbidity rates, analyze changes in functional status categories, identify the most affected domains, describe relationships between domain affection and admission diagnosis, between domain affection and age group, between morbidity and days in invasive mechanical ventilation (IMV), non-invasive ventilation and high-flow oxygen therapy. Methodology: observational, descriptive, prospective and longitudinal study. Patients between 1 and 180 months of age requiring ventilatory support for at least 48 hours, between February 2021 and February 2024, were included. Results: 90.9% survived, and of these, 26.9% developed acquired morbidity. The 42% of patients changed their functional status at least one point. The most affected domains were motor and feeding. Those who died had fewer days of IMV and hospitalization. Conclusion: The incidence of acquired morbidity was higher than mortality in the analyzed period. Children who developed morbidity remained hospitalized for a longer period of time and had greater requirements and days of IMV. Increased survival makes mortality an insufficient outcome metric. More studies with longer follow-up are needed. Introducción: un número significativo de niños sufre como consecuencia de enfermedades críticas y su tratamiento posterior, limitaciones cognitivas, físicas, mentales y sociales. Pollack y col. desarrollaron la escala de estado funcional con la finalidad de medir el cambio del estado funcional durante la hospitalización. Objetivos: evaluar la morbilidad adquirida al egreso de Unidad de Cuidados Intensivos Pediátricos (UCIP). Objetivos específicos: comparar tasa de mortalidad y de morbilidad adquirida, analizar cambios en las categorías de estado funcional, identificar los dominios más afectados, describir relaciones entre afección de dominios y diagnóstico de ingreso, entre afección de dominios y grupo etario, entre morbilidad y días de ventilación mecánica invasiva (VMI), no invasiva y oxigenoterapia de alto flujo. Metodología: estudio observacional, descriptivo, prospectivo y longitudinal. Se incluyeron los pacientes entre 1 y 180 meses de edad con requerimiento de soporte ventilatorio al menos 48 horas, entre febrero de 2021 y febrero de 2024. Resultados: el 90.9% sobrevivió, y de éstos, el 26.9% desarrolló morbilidad adquirida. El 42% cambió al menos un punto su estado funcional. Los dominios más afectados fueron el motor y alimentación. Aquellos que fallecieron tuvieron menos días de VMI y de internación. Conclusión: La incidencia de morbilidad adquirida fue superior a la mortalidad del período analizado. Los niños que desarrollaron morbilidad permanecieron internados durante un período mayor y tuvieron mayor requerimiento y días de VMI. El aumento de la supervivencia hace que la mortalidad sea una métrica de resultados insuficiente. Se necesitan más estudios con mayor seguimiento. Introdução: um número significativo de crianças sofre limitações cognitivas, físicas, mentais e sociais como resultado de doenças críticas e do seu tratamento subsequente. Pollack et al. desenvolveram a escala do estado funcional com o objetivo de medir a mudança no estado funcional durante a hospitalização. Objetivos: avaliar a morbidade adquirida na alta da Unidade de Terapia Intensiva Pediátrica (UTIP). Objetivos específicos: comparar as taxas de mortalidade e morbidade adquirida, analisar alterações nas categorias do estado funcional, identificar os domínios mais afetados, descrever relações entre o domínio condição e o diagnóstico de admissão, entre o domínio condição e a faixa etária, entre a morbidade e os dias de ventilação mecânica invasiva (VMI), oxigenoterapia não invasiva e de alto fluxo. Metodologia: estudo observacional, descritivo, prospectivo e longitudinal. Foram incluídos pacientes entre 1 e 180 meses de idade que necessitaram de suporte ventilatório por pelo menos 48 horas, entre fevereiro de 2021 e fevereiro de 2024. Resultados: 90.9% sobreviveram e destes, 26.9% desenvolveram morbidade adquirida. 42% alteraram seu status funcional em pelo menos um ponto. Os domínios mais afetados foram motor e alimentação. Aqueles que morreram tiveram menos dias de VMI e internação. Conclusão: A incidência de morbidade adquirida foi superior à mortalidade no período analisado. As crianças que desenvolveram morbidade permaneceram internadas por maior período e tiveram maiores necessidades e dias de VMI. O aumento da sobrevida torna a mortalidade uma métrica de resultado insuficiente. São necessários mais estudos com seguimento mais longo. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2025-03-31 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion text/html application/pdf application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/45328 10.31053/1853.0605.v82.n1.45328 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 82 No. 1 (2025); 41-60 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 82 Núm. 1 (2025); 41-60 Revista da Faculdade de Ciências Médicas de Córdoba; v. 82 n. 1 (2025); 41-60 1853-0605 0014-6722 10.31053/1853.0605.v82.n1 spa https://revistas.unc.edu.ar/index.php/med/article/view/45328/48625 https://revistas.unc.edu.ar/index.php/med/article/view/45328/48626 https://revistas.unc.edu.ar/index.php/med/article/view/45328/48627 Derechos de autor 2025 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |