Frontiers in Pediatrics (Aug 2022)
Implementation of early rehabilitation for critically ill children in China: A survey and narrative review of the literature
- Ting Zhang,
- Ting Zhang,
- Ting Zhang,
- Ting Zhang,
- Xiaoling Duan,
- Xiaoling Duan,
- Xiaoling Duan,
- Xiaoling Duan,
- Ying Feng,
- Ying Feng,
- Ying Feng,
- Ying Feng,
- Wei Jiang,
- Wei Jiang,
- Wei Jiang,
- Wei Jiang,
- Xueqin Hou,
- Xueqin Hou,
- Xueqin Hou,
- Xueqin Hou,
- Ling Liu,
- Ling Liu,
- Ling Liu,
- Ling Liu,
- Qinrong Huang,
- Qinrong Huang,
- Qinrong Huang,
- Qinrong Huang,
- Xiang Tang,
- Xiang Tang,
- Xiang Tang,
- Xiang Tang,
- Li Lin,
- Li Lin,
- Li Lin,
- Li Lin,
- Mingqiang Zhang,
- Mingqiang Zhang,
- Mingqiang Zhang,
- Mingqiang Zhang,
- Liang Tao,
- Liang Tao,
- Liang Tao,
- Liang Tao,
- Guoqing Liu,
- Guoqing Liu,
- Guoqing Liu,
- Guoqing Liu,
- Yuxia Chen,
- Yuxia Chen,
- Yuxia Chen,
- Yuxia Chen,
- Nong Xiao,
- Nong Xiao,
- Nong Xiao,
- Nong Xiao
Affiliations
- Ting Zhang
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Ting Zhang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Ting Zhang
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Ting Zhang
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Xiaoling Duan
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Xiaoling Duan
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Xiaoling Duan
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Xiaoling Duan
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Ying Feng
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Ying Feng
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Ying Feng
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Ying Feng
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Wei Jiang
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Wei Jiang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Wei Jiang
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Wei Jiang
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Xueqin Hou
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Xueqin Hou
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Xueqin Hou
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Xueqin Hou
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Ling Liu
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Ling Liu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Ling Liu
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Ling Liu
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Qinrong Huang
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Qinrong Huang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Qinrong Huang
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Qinrong Huang
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Xiang Tang
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Xiang Tang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Xiang Tang
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Xiang Tang
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Li Lin
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Li Lin
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Li Lin
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Li Lin
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Mingqiang Zhang
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Mingqiang Zhang
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Mingqiang Zhang
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Mingqiang Zhang
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Liang Tao
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Liang Tao
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Liang Tao
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Liang Tao
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Guoqing Liu
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Guoqing Liu
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Guoqing Liu
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Guoqing Liu
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Yuxia Chen
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Yuxia Chen
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Yuxia Chen
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Yuxia Chen
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- Nong Xiao
- Department of Rehabilitation, Children's Hospital of Chongqing Medical University, Chongqing, China
- Nong Xiao
- National Clinical Research Center for Child Health and Disorders, Chongqing, China
- Nong Xiao
- Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, China
- Nong Xiao
- Chongqing Key Laboratory of Pediatrics, Chongqing, China
- DOI
- https://doi.org/10.3389/fped.2022.941669
- Journal volume & issue
-
Vol. 10
Abstract
IntroductionThe focus of this survey was to understand the current status of implementation of early rehabilitation for critically ill children in China. We also reviewed the available literature on this topic for further insights to inform its future development.Materials and methodsWe used a cross-sectional study design to survey tertiary hospitals nationwide. Questionnaires were distributed via the social media platform “WeChat Questionnaire Star” within the framework of the Rehabilitation Group of the Pediatrics Branch of the Chinese Medical Association. A narrative literature review on the implementation of the early rehabilitation for critically ill pediatric and/or adult patients was carried out.ResultsA total of 202 valid questionnaires were received. About half (n = 105, 52.0%) of respondent hospitals reported that they implement early rehabilitation for critically ill children. Among these 105 hospitals, 28 implemented a continuous chain of early rehabilitation. A total of 24 hospitals had set up permanent specialized centralized early rehabilitation units for critically ill children.Implications and future directionsEarly rehabilitation for critically ill children is not widely available in China and only a minority of hospitals implement a continuous chain of early rehabilitation. To improve this undesirable situation, we suggest creating a two-level integrated system comprising centralized early rehabilitation units and surrounding early rehabilitation networks within a region.
Keywords
