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25), which increased to 11.00 (8.75, 12.0 at PICU discharge before decreasing to 7.50 (6.00, 9.25) at hospital discharge. All patients had significantly higher FSS at both PICU and hospital discharge median compared to baseline. Feeding and respiratory were the most affected domains. After adjusting for severity of illness, severity categories of PARDS were not a risk factor for acquired morbidity. Acquired morbidity in respiratory and feeding domains was common in PARDS survivors. Specific attention should be given to these