Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians
OBJECTIVES:. 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 pediatri...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer
2024-03-01
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| Series: | Critical Care Explorations |
| Online Access: | http://journals.lww.com/10.1097/CCE.0000000000001055 |
| _version_ | 1827307982624391168 |
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| author | Sarah Harris-Kober, DO Alyssa Motzel, DO Scott Grant, MD, MPH Brian Berman, MD Lauren Yagiela, MD, MS |
| author_facet | Sarah Harris-Kober, DO Alyssa Motzel, DO Scott Grant, MD, MPH Brian Berman, MD Lauren Yagiela, MD, MS |
| author_sort | Sarah Harris-Kober, DO |
| collection | DOAJ |
| description | OBJECTIVES:. 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.
DESIGN:. Pilot cross-sectional survey study.
SETTING:. Metropolitan Detroit, Michigan from September 2022 to March 2023.
SUBJECTS:. Primary care pediatricians.
MEASUREMENT AND MAIN 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. |
| first_indexed | 2024-04-24T18:49:33Z |
| format | Article |
| id | doaj.art-63d3167ee3f4485b8ed80b81a1fa5936 |
| institution | Directory Open Access Journal |
| issn | 2639-8028 |
| language | English |
| last_indexed | 2024-04-24T18:49:33Z |
| publishDate | 2024-03-01 |
| publisher | Wolters Kluwer |
| record_format | Article |
| series | Critical Care Explorations |
| spelling | doaj.art-63d3167ee3f4485b8ed80b81a1fa59362024-03-27T03:41:11ZengWolters KluwerCritical Care Explorations2639-80282024-03-0163e105510.1097/CCE.0000000000001055202403000-00005Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care PediatriciansSarah Harris-Kober, DO0Alyssa Motzel, DO1Scott Grant, MD, MPH2Brian Berman, MD3Lauren Yagiela, MD, MS41 Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI.1 Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI.1 Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI.1 Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI.1 Department of Pediatrics, Children’s Hospital of Michigan, Detroit, MI.OBJECTIVES:. 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. DESIGN:. Pilot cross-sectional survey study. SETTING:. Metropolitan Detroit, Michigan from September 2022 to March 2023. SUBJECTS:. Primary care pediatricians. MEASUREMENT AND MAIN 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.http://journals.lww.com/10.1097/CCE.0000000000001055 |
| spellingShingle | Sarah Harris-Kober, DO Alyssa Motzel, DO Scott Grant, MD, MPH Brian Berman, MD Lauren Yagiela, MD, MS Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians Critical Care Explorations |
| title | Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians |
| title_full | Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians |
| title_fullStr | Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians |
| title_full_unstemmed | Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians |
| title_short | Impression of Primary Care Follow-Up After a PICU Admission: A Pilot Survey of Primary Care Pediatricians |
| title_sort | impression of primary care follow up after a picu admission a pilot survey of primary care pediatricians |
| url | http://journals.lww.com/10.1097/CCE.0000000000001055 |
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