Neurodevelopmental Disorders in the PICU Population

Attention deficit hyperactivity disorder (ADHD), affecting 11% of children and adolescents, increases risk for injury and may predispose children to illness. However, the prevalence of ADHD and other developmental disorders in the pediatric intensive care unit (PICU) has not been previously studied....

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Bibliographic Details
Published in:Clinical pediatrics 2018-07, Vol.57 (8), p.913-919
Main Authors: Sobotka, Sarah A., Peters, Sarah, Pinto, Neethi P.
Format: Article
Language:English
Subjects:
Academic Medical Centers
Adolescents
Age Factors
Attention Deficit Disorder with Hyperactivity - epidemiology
Attention Deficit Disorder with Hyperactivity - etiology
Attention Deficit Disorder with Hyperactivity - physiopathology
Attention deficit hyperactivity disorder
Child
Children
Cohort Studies
Critical Care - methods
Critical Illness - psychology
Critical Illness - therapy
Emotional behavior
Female
Follow-Up Studies
Health risks
Humans
Incidence
Intensive care
Intensive Care Units, Pediatric - statistics & numerical data
Length of Stay
Logistic Models
Male
Multivariate Analysis
Neurodevelopmental disorders
Neurodevelopmental Disorders - epidemiology
Neurodevelopmental Disorders - etiology
Neurodevelopmental Disorders - physiopathology
Patient Discharge
Pediatrics
Prospective Studies
Risk Assessment
Sex Factors
Statistics, Nonparametric
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Summary:Attention deficit hyperactivity disorder (ADHD), affecting 11% of children and adolescents, increases risk for injury and may predispose children to illness. However, the prevalence of ADHD and other developmental disorders in the pediatric intensive care unit (PICU) has not been previously studied. We performed a single-center, prospective cohort study of children aged 6 to 12 years who were hospitalized in the PICU from May through August 2016. Parents described their child’s educational and neurodevelopmental history, and completed ADHD and emotional/behavioral disorder screening on enrollment and 1 month after discharge. Twenty-four children were enrolled. Ten patients (42%) had a prior neurodevelopmental diagnosis, and 7 (29%) met study criteria for ADHD. Children hospitalized for critical illness have a high prevalence of neurodevelopmental disabilities and are more susceptible to the impact of critical illness on development and behavior. More research is needed to better understand how to support this vulnerable population after critical illness.
ISSN:0009-9228
1938-2707
DOI:10.1177/0009922817737080