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Research Snapshot Theater: Patient and Family Support, Pediatric II

Social Determinants of Health Screening in Pediatric Intensive Care Units: A Point Prevalence Study

Monday, March 23, 2026
10:15 AM - 11:15 AM Central Time
Location: Connections Central - RST 09

  • Kathryn Kalata, MD (she/her/hers)

    Children's Hospital Colorado, Colorado

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • XL

    Xiaolan Liao, Ph.D.

    Assistant Professor
    University of Oklahoma Health Sciences Center, Oklahoma

    Disclosure information not submitted.

  • ML

    Mara Laurens Leimanis, Ph.D.

    Associate Professor
    Michigan State University

    Disclosure information not submitted.

  • MS

    Mallory Smith, MD, MS

    Assistant Professor
    Washington University School of Medicine

    Disclosure information not submitted.

  • JH

    Julia A. Heneghan, MD, MS (she/her/hers)

    University of Minnesota, Minnesota

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • CK

    Conrad Krawiec, MD

    Associate Professor
    Pennsylvania State Milton S Hershey Medical Center

    Disclosure information not submitted.

  • AR

    Anireddy Reddy, MD, , MSHP

    Attending Physician
    Childrens Hospital of Philadelphia

    Disclosure information not submitted.

  • MH

    Madhura Hallman, MD (she/her/hers)

    University of Alabama at Birmingham (UAB), Alabama

    Disclosure information not submitted.

  • CM

    Christina Maratta, MD, MPH, FRCPC

    Pediatric Critical Care Physician
    McGill University Health Centre, Montreal Children’s Hospital

    Disclosure information not submitted.

  • AZ

    Adrian D. Zurca, MD, MEd

    Associate Professor of Pediatrics
    Northwestern University Feinberg School of Medicine, Ann & Robert H Lurie Children's Hospital of Chicago

    Disclosure information not submitted.

  • EC

    Erin Carlton, MD, MSc

    University of Michigan CS Mott Children's Hospital

    Disclosure(s): No relevant financial relationship(s) to disclose.

  • SC

    Swati Chandhoke, MD

    Pediatric Intensivist
    Rutgers University Robert Wood Johnson School of Medicine

    Disclosure information not submitted.

  • AR

    Anna Rodenbough, MD, MPH

    Assistant Professor
    Emory University School of Medicine, Children's Healthcare of Atlanta

    Disclosure information not submitted.

  • TH

    Taylor Huntington, MD

    Pediatric Intensivist
    Emory University School of Medicine, Children's Healthcare of Atlanta

    Disclosure information not submitted.

  • EP

    Erin Talati Paquette, MD, JD, MBe

    Associate Professor of Pediatrics
    Northwestern University Feinberg School of Medicine, Ann & Robert H. Lurie Children's Hospital of Chicago

    Disclosure information not submitted.

  • Manzilat Akande, MD, MPH, MS (she/her/hers)

    University of Oklahoma Health Sciences Center, Oklahoma

    Disclosure information not submitted.

Introduction: Children with adverse social determinants of health (SDH) face a higher risk of admission to pediatric intensive care units (PICUs) and worse outcomes. SDH screening can identify health-related social needs (HRSN). Current SDH screening practices in North American PICUs are not well defined. We describe PICU SDH screening practices, hypothesizing that certain patient and hospital factors are associated with completed screening.


Methods: Multicenter, prospective, point prevalence study of patients ≤21 years old admitted to one of 44 PICUs on one of two study days in 2022-2023. Data collected included: SDH screening practices, patient demographics (race/ethnicity, insurance type, childhood opportunity index (COI)), clinical data (complex chronic conditions (CCC), ICU therapies), and hospital factors (ICU type, academic status). Mixed-effects logistic regression models were used to identify factors associated with odds of completed SDH screen.


Results: SDH screening was completed in 1064/1360 (78%) patients at 38 (86%) PICUs that routinely screened for SDH. Tools screened for economic stability (89%), healthcare access (82%), neighborhood (50%), social context (53%), and education (39%). Half (n=532) were screened on PICU day 1; 82% screened positive for economic instability, and 8.4% for poor healthcare access. Odds of completed screening were lower among those with private insurance (OR 0.6, 95%CI: 0.4-0.9) and military insurance (OR 0.1, 95%CI: 0.03-0.5) versus public insurance. Vasoactive therapy (OR 3.5, 95% CI: 2.1-5.9) and those with ≥3 CCC (OR 2.6, 95% CI: 1.4-5.2) versus none had increased odds of completed SDH screening. Race/ethnicity, COI, and hospital factors were not associated with completed SDH screening. Half (n=19) of the PICUs reported having action plans for positive screens (e.g., referral to hospital or community services).


Conclusions: While most PICUs engaged in routine SDH screening, there is heterogeneity in the domains screened for, and only half had action plans for positive screens. Public insurance, CCC, and higher clinical acuity had higher odds of completed SDH screening. Further research is needed to inform the development of standardized SDH screening practices in the PICU and to address potentially unmet HRSN among critically ill children and their families.