Table 4.
Variable | Sedation Protocol (n = 40) | Usual Care (n = 62) | P Value* |
---|---|---|---|
Age at CPSS, n (%) | 0.83 | ||
8–12 yr | 18 (45) | 28 (45) | |
≥13 yr | 22 (55) | 34 (55) | |
Normal functional status at baseline, n (%) | 30 (75) | 53 (85) | 0.30 |
PRISM III-12 score, median (IQR) | 9 (6.5–16) | 11 (6–17) | 0.98 |
CPSS subscale scores† | |||
Reexperiencing | 2.8 (2.8) | 2.3 (2.8) | 0.59 |
Avoidance | 2.8 (3.0) | 2.2 (3.7) | 0.54 |
Hyperarousal | 3.7 (3.5) | 3.5 (4.2) | 0.96 |
Total symptom severity score† | 9.3 (8.0) | 8.0 (9.7) | 0.72 |
Screened positive for PTSD (score ≥ 11), n (%) | 14 (35) | 17 (27) | 0.72 |
Severity-of-impairment score† | 1.3 (2.2) | 1.1 (2.0) | 0.72 |
Definition of abbreviations: CPSS = Child PTSD Symptom Scale; IQR = interquartile range; PICU = pediatric ICU; PRISM III-12 = Pediatric Risk of Mortality III score from first 12 hours in the PICU; PTSD = post-traumatic stress disorder.
Data are mean (SD) unless otherwise indicated.
P values for the comparison of CPSS scores between treatment groups were calculated using linear and logistic regression accounting for PICU as a cluster variable using generalized estimating equations for continuous and binary variables, respectively, with adjustment for categorical age at CPSS, functional status at baseline, and PRISM III-12 score.
Higher scores indicate higher severity of symptoms. Total symptom severity score ranges from 0 to 51, with higher scores indicating greater severity. Severity-of-impairment score ranges from 0 to 7, with higher scores indicating greater impairment. Mean scores from 75 children 2 years after the Northridge, California, earthquake in 1994 were total score = 7.6, reexperiencing subscale score = 1.9, avoidance subscale score = 2.7, and hyperarousal subscale score = 2.7 (14).