{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:14:10Z","timestamp":1791328450147,"version":"4.3.1"},"reference-count":40,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T00:00:00Z","timestamp":1722902400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"KK Women\u2019s and Children\u2019s Hospital","award":["KRDUK20AR100"],"award-info":[{"award-number":["KRDUK20AR100"]}]},{"name":"SingHealth FY2019 Talent Development Fund (TDF)","award":["KRDUK20AR100"],"award-info":[{"award-number":["KRDUK20AR100"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Children"],"abstract":"<jats:p>Childhood critical illness can have long-term effects on families, but the extent and trajectory of recovery for parents are unknown. Using prospective longitudinal design, we describe the health outcomes of parents and their trajectory six months after paediatric intensive care unit (PICU) discharge. Parents reported health outcomes at PICU discharge (baseline), and 1-, 3-, and 6-months post-discharge. We used the Pediatric Quality-of-Life Family Impact Module, Patient Health Questionnaire-4, and post-traumatic stress disorder (PTSD) Checklist for DSM-5. The group-based trajectory model was used to identify recovery patterns. We included 128 parents of children aged 1 month to 18 years, admitted to the PICU for \u226548 h. Three post-discharge composite health trajectory groups were classified: 54 mild (42%), 68 moderate (53%), and 6 severe (4%). Parents in the mild and moderate groups returned to baseline health within the first 3 months, but those in the severe group exhibited worse outcomes at 6-months. The mean (SD) PICU stay durations for mild, moderate, and severe groups were 9 (16), 7 (10), and 38 (61) days; days of mechanical ventilation were 4 (5), 4 (7), and 18 (25) days; and readmission rates were 12 (22%), 23 (34%), and 4 (66%), respectively. Identifying these trajectories enables novel, targeted interventions for at-risk parents, underscoring the significance of integrated PICU follow-up care.<\/jats:p>","DOI":"10.3390\/children11080948","type":"journal-article","created":{"date-parts":[[2024,8,6]],"date-time":"2024-08-06T11:54:19Z","timestamp":1722945259000},"page":"948","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Physical, Cognitive, Emotional, and Social Health Outcomes of Parents in the First Six Months after Childhood Critical Illness: A Prospective Single Centre Study"],"prefix":"10.3390","volume":"11","author":[{"given":"Pei-Fen","family":"Poh","sequence":"first","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth PL4 8AA, UK"},{"name":"Children\u2019s Intensive Care Unit, KK Women\u2019s and Children\u2019s Hospital, Singapore 229899, Singapore"},{"name":"Paediatrics Academic Clinical Programme, Duke-NUS Medical School, Singapore 169857, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8430-4217","authenticated-orcid":false,"given":"Jan Hau","family":"Lee","sequence":"additional","affiliation":[{"name":"Children\u2019s Intensive Care Unit, KK Women\u2019s and Children\u2019s Hospital, Singapore 229899, Singapore"},{"name":"Paediatrics Academic Clinical Programme, Duke-NUS Medical School, Singapore 169857, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9347-5571","authenticated-orcid":false,"given":"Rehena","family":"Sultana","sequence":"additional","affiliation":[{"name":"Duke-NUS Medical School, Singapore 169857, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6077-4169","authenticated-orcid":false,"given":"Joseph C.","family":"Manning","sequence":"additional","affiliation":[{"name":"Nottingham Children\u2019s Hospital, Nottingham University Hospitals NHS Trust, Queen\u2019s Medical Centre, Nottingham NG7 2UH, UK"},{"name":"School of Healthcare, College of Life Sciences, University of Leicester, Leicester LE1 7RH, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3411-0657","authenticated-orcid":false,"given":"Matthew C.","family":"Carey","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth PL4 8AA, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8087-6461","authenticated-orcid":false,"given":"Jos M.","family":"Latour","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Faculty of Health, University of Plymouth, Plymouth PL4 8AA, UK"},{"name":"Department of Nursing, Zhongshan Hospital, Fudan University, Shanghai 200437, China"},{"name":"Curtin School of Nursing, Curtin University, Perth, WA 6102, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,8,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1097\/PCC.0000000000002667","article-title":"Characteristics and Timing of Mortality in Children Dying With Infections in North American PICUs","volume":"22","author":"Johnson","year":"2021","journal-title":"Pediatr. 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