Prevention and Management of Post-Intensive Care Syndrome in Pediatrics (PICS-p): A Multidimensional Practice Development Project

Preventing Long-Term Effects, Improving Quality of Life, and Strengthening Clinical Practice
A Project to Support Children and Their Families After a Stay in Intensive Care
Catégorie
Quality of care
Statut
In progress

Context

Up to 77% of children hospitalized in pediatric intensive care units develop physical, cognitive, psychological, or social sequelae, grouped under the term Post-Intensive Care Syndrome in pediatrics (PICS-p). At HUG, this represented about 600 children per year. These impacts are often underestimated and insufficiently addressed. The PICS-p project aims to prevent and reduce these sequelae through a multidimensional approach: early in-hospital interventions, post-ICU consultations, and family support.

 

Project

The project is based on four pillars: (1) implementation of the ABCDEFGH bundle and the Life Diary to integrate PICS-p prevention from hospitalization; (2) training and awareness of hospital and community healthcare professionals; (3) information and support for families through educational tools and support groups; (4) development of post-ICU follow-up consultations including multidimensional assessment of children and their families. The ambition is to establish PICS-p as a quality criterion for PICUs and to develop national recommendations.

 

Where Are We Now?

May 2026: Since 2025, more than 88 patients have participated in the PICS program, and 73 have benefited from close, individualized follow-up care.

 

Project Leads

Ms. Lucile Revel, Clinical Nurse Specialist, Neonatology and Pediatric Intensive Care Unit, Department of Women, Children and Adolescents, Geneva University Hospitals

Dr. Claire Morice, Senior Registrar (Chief Resident), Neonatology and Pediatric Intensive Care Unit, Department of Women, Children and Adolescents, Geneva University Hospitals