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Not yet recruitingNCT07876271PICSpLCSUpdated Oct 15, 2026

PICS-p Longitudinal Cohort Study

An observational study in Physical Functional Impairment, Cognitive Impairment and Psychological Distress, sponsored by Children's Hospital of Fudan University. Not yet recruiting. Open to participants aged 29 Days to 18 Years. Per ClinicalTrials.gov, last updated 2026-10-15.

Sponsored by Children's Hospital of Fudan University · Observational

Updated Oct 15, 2026Newly registeredGo to Updates ↓
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
200
Ages
29 Days to 18 Years
Sex
All
01

Study summary

Children who survive critical illness may develop new or worsening problems with physical health, cognitive status, emotional well-being, and social functioning. These problems, collectively known as post-intensive care syndrome in pediatrics (PICS-p), may also affect family well-being. Evidence on how frequently these problems occur, how they change over time, and which factors influence recovery remains limited in China.

This single-center, prospective observational cohort study at Children's Hospital of Fudan University aims to describe the occurrence and recovery trajectories of PICS-p and identify factors associated with persistent difficulties or recovery. The study focuses on children admitted to the pediatric intensive care unit (PICU) with sepsis, severe pneumonia or acute respiratory distress syndrome, those receiving cranial neurosurgical care, and those requiring prolonged mechanical ventilation.

Clinical information and standardized assessments will be collected to evaluate physical function, overall quality of life, cognitive function, psychological well-being, social functioning, and family outcomes. Follow-up will include assessments at 1, 3, 6, and 12 months after PICU discharge, with longer-term follow-up planned at 2 years, 3 years, and beyond. The study will examine how outcomes change over time and identify potentially modifiable risk factors.

The findings will help identify early which children and families need additional support and guide the development of rehabilitation and coordinated follow-up care across hospital, home, and community settings.

02

Conditions studied

  • Physical Functional Impairment
  • Cognitive Impairment
  • Psychological Distress
  • Impaired Social Functioning

Keywords

  • Pediatric Post-Intensive Care Syndrome
  • PICS-p
  • Pediatric Intensive Care Unit
  • Critical Illness Survivorship
  • Prospective Cohort Study
  • Long-Term Outcomes
03

In context

Cognitive Dysfunction

3,930 studies on the registry are indexed under Cognitive Dysfunction; 1,114 are open to participants now.

This study's planned enrollment of 200 is above the median of 150 across 989 observational studies indexed under Cognitive Dysfunction.

Browse Cognitive Dysfunction studies →

Lead sponsor

Children's Hospital of Fudan University is the lead sponsor of 266 studies on the registry; 95 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
29 Days to 18 Years
Sexes eligible
All
Sampling method
Non-probability sample

Study population

Children aged 28 days to 18 years admitted to the pediatric intensive care unit (PICU) at Children's Hospital of Fudan University in Shanghai, China, who stay in the PICU for more than 48 hours and survive the PICU stay. The cohort includes children with a range of critical illnesses, with particular focus on sepsis, severe pneumonia or acute respiratory distress syndrome, cranial neurosurgical conditions, and prolonged mechanical ventilation. Participants will be followed longitudinally to assess physical, cognitive, psychological, social, and family outcomes after discharge.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age from 28 days after birth through 18 years.
  • Pediatric intensive care unit (PICU) length of stay exceeding 48 hours.

Exclusion criteria

Exclusion Criteria:

  • PICU admission for transitional postoperative care following general abdominal surgery, except liver transplantation.
  • Death during the PICU stay.
  • Expected death within 24 hours after hospital discharge in the context of brain death or a decision to forgo further life-sustaining treatment.
  • Inability to complete baseline cognitive or functional assessments with sufficient reliability to support study evaluation and follow-up.
05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
200 participants (estimated)
Patient registry
No

Groups and cohorts

  • Pediatric Intensive Care Survivors
06

What researchers measure

Primary outcomes

  1. Health-Related Quality of Life Assessed by the PedsQL 4.0 Generic Core Scales Total Score

    Time frame: 12 months after hospital discharge

  2. Proportion of Children With Physical Functional Impairment

    Time frame: 12 months after hospital discharge

  3. Proportion of Children With Cognitive Impairment

    Time frame: 12 months after hospital discharge

  4. Proportion of Children With Psychological Impairment

    Time frame: 12 months after hospital discharge

  5. Proportion of Children With Social Functional Impairment

    Time frame: 12 months after hospital discharge

  6. Proportion of Families With Impaired Family Functioning

    Time frame: 12 months after hospital discharge

Secondary outcomes

  1. Trajectory of Functional Status Scale (FSS) Scores During the First Year After Hospital Discharge

    Time frame: 1, 3, 6, and 12 months after hospital discharge

  2. Proportion of Children With Post-Traumatic Stress Symptoms

    Time frame: 12 months after hospital discharge

  3. Proportion of Children With Anxiety Symptoms

    Time frame: 12 months after hospital discharge

  4. Proportion of Children With Depressive Symptoms

    Time frame: 12 months after hospital discharge

  5. Family Functioning Assessed by the Family Assessment Device (FAD)

    Time frame: 12 months after hospital discharge

  6. Caregiver Psychological Well-Being

    Time frame: 12 months after hospital discharge

  7. Incidence of Intensive Care Unit-Acquired Weakness (ICU-AW)

    Time frame: 12 months after hospital discharge

07

Study locations

No study locations are listed for this record.

08

References and documents

Publications

  • Engel J, von Borell F, Baumgartner I, Kumpf M, Hofbeck M, Michel J, Neunhoeffer F. Modified ABCDEF-Bundles for Critically Ill Pediatric Patients - What Could They Look Like? Front Pediatr. 2022 May 2;10:886334. doi: 10.3389/fped.2022.886334. eCollection 2022. PubMed 35586826 ↗
  • Renner C, Jeitziner MM, Albert M, Brinkmann S, Diserens K, Dzialowski I, Heidler MD, Luck M, Nusser-Muller-Busch R, Sandor PS, Schafer A, Scheffler B, Wallesch C, Zimmermann G, Nydahl P. Guideline on multimodal rehabilitation for patients with post-intensive care syndrome. Crit Care. 2023 Jul 31;27(1):301. doi: 10.1186/s13054-023-04569-5. PubMed 37525219 ↗
  • Al-Harbi S. Early Mobilization in Pediatric Critical Care: Exploring the Gap Between Theory and Practice in Saudi Arabia. Med Sci Monit. 2024 Mar 2;30:e942467. doi: 10.12659/MSM.942467. PubMed 38429924 ↗
  • Garcia-Fernandez J, Romero-Garcia M, Benito-Aracil L, Pilar Delgado-Hito M. Humanisation in paediatric intensive care units: A narrative review. Intensive Crit Care Nurs. 2024 Dec;85:103725. doi: 10.1016/j.iccn.2024.103725. Epub 2024 May 31. PubMed 38824005 ↗
  • Micaelli D, Naudin J, Dauger S, Levy M, Kerever S. Patient follow-up after discharge from the paediatric intensive care unit: A scoping review. Nurs Crit Care. 2025 May;30(3):e13187. doi: 10.1111/nicc.13187. Epub 2024 Oct 18. PubMed 39421878 ↗
  • Quadir A, Festa M, Gilchrist M, Thompson K, Pride N, Basu S. Long-term follow-up in pediatric intensive care-a narrative review. Front Pediatr. 2024 Jul 1;12:1430581. doi: 10.3389/fped.2024.1430581. eCollection 2024. PubMed 39011062 ↗
  • He X, Song Y, Cao Y, Miao L, Zhu B. Post intensive care syndrome: A review of clinical symptoms, evaluation, intervention. Heliyon. 2024 May 17;10(10):e31278. doi: 10.1016/j.heliyon.2024.e31278. eCollection 2024 May 30. PubMed 38803859 ↗
  • Ong C, Lee JH, Leow MK, Puthucheary ZA. Functional Outcomes and Physical Impairments in Pediatric Critical Care Survivors: A Scoping Review. Pediatr Crit Care Med. 2016 May;17(5):e247-59. doi: 10.1097/PCC.0000000000000706. PubMed 27030932 ↗
  • Tang B, Chen WJ, Jiang LD, Zhu SH, Song B, Chao YG, Song TJ, He W, Liu Y, Zhang HM, Chai WZ, Yin MG, Zhu R, Liu LX, Wu J, Ding X, Shang XL, Duan J, Xu QH, Zhang H, Wang XM, Huang QB, Gong RC, Li ZZ, Lu MS, Wang XT. [Expert consensus on late stage of critical care management]. Zhonghua Nei Ke Za Zhi. 2023 May 1;62(5):480-493. doi: 10.3760/cma.j.cn112138-20221005-00731. Chinese. PubMed 37096274 ↗
  • Manning JC, Pinto NP, Rennick JE, Colville G, Curley MAQ. Conceptualizing Post Intensive Care Syndrome in Children-The PICS-p Framework. Pediatr Crit Care Med. 2018 Apr;19(4):298-300. doi: 10.1097/PCC.0000000000001476. PubMed 29406379 ↗

Individual participant data

Plan to share: Undecided

09

Timeline

1 registry update since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Start is estimated for Sep 2026; primary completion for Mar 2029, 30 months later.

Of 515 non-industry observational studies under Cognitive Dysfunction, half reached primary completion within 51 months of starting (the median), counting those still running; a quarter within 22 and three quarters within 124. This study's planned 30 months is below that.

Counting every sponsor, half of 551 studies reached it within 48 months; a quarter within 21 and three quarters within 118.

How these figures are worked out, and which studies are left out of them.

Registered
Oct 9, 2026
First posted
Oct 15, 2026
StartEst.
Sep 2026
Primary completionEst.
Mar 2029
CompletionEst.
Dec 2029
Last update
Oct 15, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
Registered
First appeared on the registry. No changes since
Oct 15, 2026
Show all 1 update
  1. Oct 15, 2026
    First appeared on the registry

From the registry record's own update history. This site started tracking changes on Sep 25, 2026; for anything earlier, see the record history on ClinicalTrials.gov ↗

10

Registry details

Key details

Study ID
NCT07876271
Responsible party
Sponsor
First posted
Oct 15, 2026
Start date
Sep 2026 (estimated)
Primary completion
Mar 2029 (estimated)
Completion
Dec 2029 (estimated)
Last update
Oct 15, 2026

Study contacts

Zhengzheng Zhang, MD
Contact
6710916@163.com
86 18121445817

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is not yet recruiting, as verified in Oct 2026. You cannot join it, but the record below documents what was studied.

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