PP230 Topic: AS21–Post-PICU: Patient and Family Outcomes/Chronic Critical Illness/Post Intensive Care Syndrome in Pediatrics (PICS-p)/Post-discharge Care Delivery Models/Other: FOLLOW UP NEEDS AFTER PAEDIATRIC CRITICAL CARE: A SURVEY STUDY

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Aims & Objectives: Despite a drive to establish post-PICU follow-up programs, there remains a gap in our understanding of current follow-up needs and healthcare use after PICU discharge. We aimed to understand: PICU survivors’ existing healthcare usage; primary care and specialist follow-up; return to school and work for patients and their caregivers; and whether there exists a perceived need for follow-up among PICU survivors. Methods: We administered a cross-sectional survey of patients surviving their PICU admission. Descriptive statistics were used to describe patient and caregiver characteristics and responses and Likert scale responses were summarized Results: 62 (45%) responses. Prior to PICU admission, 27% were known to a specialist. 61% were not taking regular medications and 23% had a prior PICU admission. Nearly one-third were admitted to PICU with an ALTRI, 61% were intubated and 45% had LOS>7days. Within three months after discharge, 39% had a new medication, 19% had revisited ED. 44% had follow-up within one week. 39% had new follow-up with a hospital specialist, 58% had follow-up with a new allied health professional. Of patients who attended school/daycare, 34% had not returned within three months of discharge and 23% of those children returning to school required a specialized education plan. Of working caregivers, 38% had missed more than one month of employment. Conclusions: This study demonstrates an ongoing reliance on healthcare services following discharge from the PICU. The potential financial burden associated with delays in caregivers return to work and the number of children requiring specialized education plans highlight the importance of supporting this vulnerable population Keywords: follow, outpatient, critical, PICS

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