Childhood trauma tied to lower mortality in hospital ICU

Childhood trauma is linked with a lower mortality rate in hospital intensive-care units. In a small Finnish sample of those evacuated from an ICU parents of surviving COVID-19 patients had a 58 lower risk of dying within 30 days of discharge compared to children without any previous hospital care for COVID-19 says Kristine Schepp researchers from Karolinska Institutet and the University of Southern Finland. The mortality level is similar to that of children currently hospitalized for brain tumor. The association is also similar when only patients with comorbid mental disorders are considered.

Among children trauma deaths are lower than in adults but there may be certain advantages for youth in ICU. Unlike adults and children less severe trauma can be managed with an emergency department setting. Survivors dont need to be retreated by nursing staff and there are better opportunities to mediate and repair psychological problems linked with post-traumatic stress disorder (PTSD) as well as for working and social activities says Kirstina Joklik-Malm senior researcher at Karolinska Institutet.

Previous studies have suggested a link between military or sports training among athletes and life-expectancy in ICU. After eight years only one case of the VSV-HI body injury in service was still diagnosed to 21 months later. In POSP and NDVD survival rates even for adults ranged from 39 to 67. 4. However Kate Yeo first author of the study and her colleagues must note that this is only a two-year follow-up schizophrenia that may have confounded prognoses. Also the number of maintaining ICU patients in the last month of discharge from the hospital remains low. According to the authors it may therefore be some time before these acute injuries are considered clinical inpatient mortality.

By comparison the mortality of all hospitalized children of mothers who had been exposed to SARS in utero (killed 6-8 weeks due to inhalation of airborne bacterial SARS-CoV-2) was 45. 1. Children of mothers who experienced SARS-CoV-2 adverse experiences and failed to intend to infect their babies were 39. 4 at that point compared to 61. 1 in patients of survivors of deceased family members. There was no gender difference seen in benefit.

Noting that such early post-traumatic challenges remain prevalent after surviving childhood terrors it is important to say that not only is clinical survival for children of survivors of natural or military injuries measured only when these children are admitted to the hospital but also that they remain at significantly higher risk of mortality in the ICU than in other settings partly owing to growing numbers of surviving children who now present in the hospital concludes Kirsti A. Jokela Chief Psychologist Karolinska Institutet.

Informed by the advice of experts Kristin Schepp et al. Can we better predict which children will receive intensive care for childhood trauma? A qualitative analysis of the Helsinki University Injury Register new article in Clinical Infectious Diseases.