Maayke Hunfeld

104 Chapter 3 o Other: Will there be more follow up visits after the first visit? * Only answer this question if the following conditions are met: Answer was ‘Yes’ at question ‘40 [Code40]’ (Is every child admitted to PICU after cardiac arrest and who survived, scheduled for regular follow up visits?) Please choose only one of the following: o Yes, but it depends on the medical condition of the patient o Yes, we have a standardized follow up program o No Please specify at which intervals the patients are scheduled Only answer this question if the following conditions are met: Answer was ‘Yes, we have a standardized follow up program’ at question ‘42 [Code42]’ (Will there be more follow up visits after the first visit?) Please write your answer here: ___________________________________________________________________ Who performs the follow up visits? (multiple answers possible) * Only answer this question if the following conditions are met: Answer was ‘Yes’ at question ‘40 [Code40]’ (Is every child admitted to PICU after cardiac arrest and who survived, scheduled for regular follow up visits?) Please choose all that apply: o Pediatric intensivist o Pediatric anesthesiologist o Pediatrician o (Pediatric) neurologist o Nurse/nurse practitioner o Pediatric cardiologist o Psychologist o Rehabilitation specialist o Physiotherapist o Other: Is there a neuropsychological assessment during follow up visits? * Only answer this question if the following conditions are met: Answer was ‘Yes’ at question ‘40 [Code40]’ (Is every child admitted to PICU after cardiac arrest and who survived, scheduled for regular follow up visits?) Please choose only one of the following: