{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T07:28:59Z","timestamp":1773732539611,"version":"3.50.1"},"reference-count":29,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T00:00:00Z","timestamp":1773619200000},"content-version":"vor","delay-in-days":74,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001691","name":"Japan Society for the Promotion of Science","doi-asserted-by":"publisher","award":["JSPS KAKENHI 19K18372"],"award-info":[{"award-number":["JSPS KAKENHI 19K18372"]}],"id":[{"id":"10.13039\/501100001691","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatrics International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Although mortalities in the PICU have decreased, an increasing proportion of PICU survivors are experiencing new morbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010center prospective cohort study was conducted in a tertiary\u2010care 20\u2010bed PICU. Patients under 16\u2009years old who were admitted between March 2020 and March 2021 and stayed for more than 48\u2009h were included. Web\u2010based questionnaires were sent at the timing of PICU discharge to collect baseline information and at 1, 3, 6, and 12\u2009months after discharge. Functional Status Scale was evaluated at each time point to assess patient outcomes. Hospital anxiety and depression scale was assessed to screen for parental anxiety and depression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 229 patients and their parents were included. Response rates were 55.5% at PICU discharge and 49.3%, 41.5%, 36.7%, and 33.2% for 1, 3, 6, and 12\u2009months after discharge, respectively. The percentages of patients presenting moderate to very severe disability were 19.4% (25\/129), 13.9% (16\/115), 13.2% (14\/106), 9.3% (8\/86), 9.0% (7\/78), respectively. Moderate\u2010to\u2010severe anxiety was observed in 30.7% (39\/127), 20.3% (23\/113), 12.6% (12\/95), 8.4% (7\/84), 10.5% (8\/76), and moderate\u2010to\u2010severe depression in 41.7% (53\/127), 38.0% (43\/113), 33.7% (32\/95), 27.4% (23\/84), and 19.7% (15\/76) of the parents at each time point.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>An upward trend in functional outcomes was observed in PICU survivors over the first year after discharge. However, parental anxiety and depression persisted, indicating the profound psychological impact of pediatric critical illness on family members.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ped.70362","type":"journal-article","created":{"date-parts":[[2026,3,17]],"date-time":"2026-03-17T05:12:17Z","timestamp":1773724337000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Patient and parental outcomes up to 1\u2009year after pediatric critical illness: A single\u2010center prospective cohort study"],"prefix":"10.1111","volume":"68","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3633-3600","authenticated-orcid":false,"given":"Kaoru","family":"Tsuboi","sequence":"first","affiliation":[{"name":"Department of Critical Care and Anesthesia National Center for Child Health and Development  Tokyo 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