1. Persistent inflammation, immunosuppression and catabolism syndrome (PICS) in critically ill children is associated with clinical outcomes: a prospective longitudinal study
- Author
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Julia Carvalho Ventura, Daniela Barbieri Hauschild, Eliana Barbosa, Yara Maria Franco Moreno, Nilzete Liberato Bresolin, M.S. Farias, and Luna Dias de Almeida Oliveira
- Subjects
Adult ,Male ,0301 basic medicine ,endocrine system ,medicine.medical_specialty ,Longitudinal study ,Critical Illness ,medicine.medical_treatment ,Population ,Medicine (miscellaneous) ,030209 endocrinology & metabolism ,03 medical and health sciences ,0302 clinical medicine ,Interquartile range ,Internal medicine ,Humans ,Medicine ,Longitudinal Studies ,Prospective Studies ,Medical nutrition therapy ,Child ,education ,Immunosuppression Therapy ,Inflammation ,Mechanical ventilation ,education.field_of_study ,030109 nutrition & dietetics ,Nutrition and Dietetics ,business.industry ,Proportional hazards model ,Mortality rate ,Infant ,Immunosuppression ,Length of Stay ,biochemical phenomena, metabolism, and nutrition ,Child, Preschool ,Female ,business - Abstract
BACKGROUND Persistent inflammation, immunosuppression and catabolism syndrome (PICS) has been described in critically ill adults and may contribute to unfavourable outcomes. The present study aimed to describe and characterise PICS in critically ill children (PICS-ped) and to verify its association with clinical outcomes. METHODS A prospective longitudinal study was conducted in a paediatric intensive care unit (PICU) with children aged between 3 months and 15 years. PICS-ped, based on adult definition, was described. PICS-ped was defined as PICU length of stay >14 days; C-reactive protein > 10.0 mg L-1 ; lymphocytes
- Published
- 2020
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