PDF(Pubmed)
Abstract：
OBJECTIVE: The majority of PICU general follow-up occurs with primary care providers. Our objective was to investigate primary care pediatricians\': 1) comfort with and barriers to caring for children after a PICU admission, 2) knowledge of and screening for post-intensive care syndrome in pediatrics (PICS-P), and 3) resource needs.
METHODS: Pilot cross-sectional survey study.
METHODS: Metropolitan Detroit, Michigan from September 2022 to March 2023.
METHODS: Primary care pediatricians.
RESULTS: The survey included 15 questions on provider demographics, comfort with and barriers to caring for children after a PICU admission, knowledge of and screening practices for PICS-P, and resource needs. The median values for continuous data and frequencies for categorical data were calculated. The survey response rate was 17% (26/152). The median age was 38.5 years (interquartile range 34-52 yr) and 19 of 26 (73%) were female. In case studies, 26 of 26 (100%) were \"very comfortable\" resuming care for a patient with a straightforward bronchiolitis PICU admission while 8 of 26 participants (31%) were \"somewhat uncomfortable\" and 1 of 26 (4%) was \"not at all comfortable\" with caring for a patient after a complex acute respiratory distress syndrome PICU admission. Seven of 26 participants (27%) were familiar with the term \"post-intensive care syndrome in pediatrics.\" Over 50% screened for four of five PICS-P domains. Key barriers were care coordination with specialists, discomfort or difficulties with managing new home equipment, and inadequate or missing documentation.
CONCLUSIONS: In this pilot study, approximately one-third of primary care pediatricians had knowledge of PICS-P. Participants experienced numerous care barriers. Our findings suggest future research could engage improved study methods and designs, and focus on interventions to support primary care-provided PICU follow-up.
METHODS: Pilot cross-sectional survey study.
METHODS: Metropolitan Detroit, Michigan from September 2022 to March 2023.
METHODS: Primary care pediatricians.
RESULTS: The survey included 15 questions on provider demographics, comfort with and barriers to caring for children after a PICU admission, knowledge of and screening practices for PICS-P, and resource needs. The median values for continuous data and frequencies for categorical data were calculated. The survey response rate was 17% (26/152). The median age was 38.5 years (interquartile range 34-52 yr) and 19 of 26 (73%) were female. In case studies, 26 of 26 (100%) were \"very comfortable\" resuming care for a patient with a straightforward bronchiolitis PICU admission while 8 of 26 participants (31%) were \"somewhat uncomfortable\" and 1 of 26 (4%) was \"not at all comfortable\" with caring for a patient after a complex acute respiratory distress syndrome PICU admission. Seven of 26 participants (27%) were familiar with the term \"post-intensive care syndrome in pediatrics.\" Over 50% screened for four of five PICS-P domains. Key barriers were care coordination with specialists, discomfort or difficulties with managing new home equipment, and inadequate or missing documentation.
CONCLUSIONS: In this pilot study, approximately one-third of primary care pediatricians had knowledge of PICS-P. Participants experienced numerous care barriers. Our findings suggest future research could engage improved study methods and designs, and focus on interventions to support primary care-provided PICU follow-up.
摘要：
目的：PICU的一般随访大部分发生在初级保健提供者。我们的目的是调查初级保健儿科医生：1）PICU入院后对照顾儿童的舒适度和障碍，2）儿科重症监护综合征（PICS-P）的知识和筛查，3)资源需求。
方法：试点横断面调查研究。
方法：底特律大都会，密歇根州从2022年9月到2023年3月。
方法：初级保健儿科医生。
结果：调查包括15个关于提供者人口统计的问题，PICU入院后照顾儿童的舒适度和障碍，PICS-P的知识和筛选实践，和资源需求。计算连续数据的中值和分类数据的频率。调查应答率为17%(26/152)。中位年龄为38.5岁（四分位距34-52岁），26人中有19人（73％）为女性。在案例研究中,26人中有26人（100％）“非常舒适”地恢复了患有直接细支气管炎PICU患者的护理，而26人中有8人（31％）“有些不舒服”，26人中有1人（4％）在复杂的急性呼吸窘迫综合征PICU入院后对患者的护理“完全不舒服”。26名参与者中有7名(27%)熟悉“儿科重症监护后综合征”这一术语。“超过50%的人筛选了五个PICS-P域中的四个。主要障碍是与专家的护理协调，管理新的家用设备感到不适或困难，文件不足或缺失。
结论：在这项初步研究中，大约三分之一的初级保健儿科医生了解PICS-P。参与者经历了许多护理障碍。我们的研究结果表明，未来的研究可以采用改进的研究方法和设计，并重点关注支持初级保健提供的PICU随访的干预措施。
方法：试点横断面调查研究。
方法：底特律大都会，密歇根州从2022年9月到2023年3月。
方法：初级保健儿科医生。
结果：调查包括15个关于提供者人口统计的问题，PICU入院后照顾儿童的舒适度和障碍，PICS-P的知识和筛选实践，和资源需求。计算连续数据的中值和分类数据的频率。调查应答率为17%(26/152)。中位年龄为38.5岁（四分位距34-52岁），26人中有19人（73％）为女性。在案例研究中,26人中有26人（100％）“非常舒适”地恢复了患有直接细支气管炎PICU患者的护理，而26人中有8人（31％）“有些不舒服”，26人中有1人（4％）在复杂的急性呼吸窘迫综合征PICU入院后对患者的护理“完全不舒服”。26名参与者中有7名(27%)熟悉“儿科重症监护后综合征”这一术语。“超过50%的人筛选了五个PICS-P域中的四个。主要障碍是与专家的护理协调，管理新的家用设备感到不适或困难，文件不足或缺失。
结论：在这项初步研究中，大约三分之一的初级保健儿科医生了解PICS-P。参与者经历了许多护理障碍。我们的研究结果表明，未来的研究可以采用改进的研究方法和设计，并重点关注支持初级保健提供的PICU随访的干预措施。
