WFPICCS 2022: Rehabilitation of the Critical Pediatric Patient – Black and Hispanic children more likely to have greater injury severity and decreased functional independence

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Children in intensive care suffer from physical, psychological and social consequences and with post-hospitalization morbiditieso, in addition to having a reduction in their overall quality of life. Disparities in health care, such as race, status socioeconomic and other social determinants of health, have effects on access to and outcomes of care.

In the latest WFPICCS 2022, Garg and collaborators (Johns Hopkins Hospital) presented a systematic review that evaluated these disparities.

Read too: WFPICCS 2022: Have protective measures against Covid-19 influenced the transmission of influenza in neonatal and pediatric ICUs?



The researchers analyzed the current evidence on health care disparities in pediatric rehabilitation through a systematic review. Studies that primarily addressed health disparities, were focused on rehabilitation and limited to Pediatrics were included.

You rehabilitation services included: physical therapy, occupational therapy, speech therapy, and inpatient or outpatient rehabilitation.

PubMed and EMBASE databases were searched using controlled vocabulary and MESH key terms. Of the 2,214 studies identified, 377 abstracts were examined for full-text review, with 22 studies chosen for data extraction. Five additional studies were identified through reference lists. A narrative synthesis was performed on 27 studies.


The analysis of the 27 studies included revealed three main themes, including access to services, outcomes of rehabilitation and service delivery. public service was associated with a minor outcome functional, fewer outpatient service providers and longer outpatient waiting times.

Black and Hispanic children were more likely to have greater injury severity, be admitted to hospital rehabilitation, and have decreased functional independence after discharge. The lack of interpreter services was associated with decreased use of outpatient services.


This rsystematic review identified status in public x private healthrace, ethnicity, built environment, status socioeconomic status and language as factors associated with reduced access to rehabilitation services, worse outcomes after hospitalization and rehabilitation, and decrease in service provision.

You researchers concluded that determinants social health needs to be carefully addressed in the pediatric rehabilitation population to identify key areas of improvement for the provision of equitable health care.

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