Children With Complex Chronic Conditions: A Multifaceted Contemporary Medical Challenge Not Restricted to PICUs

Children With Complex Chronic Conditions: A Multifaceted Contemporary Medical Challenge Not Restricted to PICUs

Piva J; Fontela P

Pediatric Critical Care Medicine

2020

Child; child; human; palliative therapy; Only Child; comorbidity; editorial; chronic disease

Widespread primary care policies coupled with the advent of tertiary and quaternary care facilities promoted an impressive reduction of pediatric mortality in the last 50 years worldwide. The better care provided to survivors led to a significant increase in the number of pediatric patients with special medical needs. The 2009–2010 National Survey of Children with Special Health Care Needs estimated that 15.1% (11.2 million children) of U.S. children have some kind of medical dependency and that 23% of households with children include at least one child with a special healthcare need (1). Importantly, pediatric patients with special medical needs present wide variation in terms of their medical complexity, functional limitations, and resource need (2,3). [...]

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