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End-of-life practices in patients admitted to pediatric intensive care units in Brazil : a retrospective study
- Source :
- Repositório Institucional da UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), instacron:UFRGS, Jornal de Pediatria, Volume: 97, Issue: 5, Pages: 525-530, Published: 11 OCT 2021, Jornal de Pediatria v.97 n.5 2021, Jornal de Pediatria, Sociedade Brasileira de Pediatria (SBP), instacron:SBPE
- Publication Year :
- 2021
-
Abstract
- Objective To determine the prevalence of life support limitation (LSL) in patients who died after at least 24 h of a pediatric intensive care unit (PICU) stay, parent participation and to describe how this type of care is delivered. Methods Retrospective cohort study in a tertiary PICU at a university hospital in Brazil. All patients aged 1 month to 18 years who died were eligible for inclusion. The exclusion criteria were those brain death and death within 24 h of admission. Results 53 patients were included in the study. The prevalence of a LSL report was 45.3%. Out of 24 patients with a report of LSL on their medical records only 1 did not have a do-not-resuscitate order. Half of the patients with a report of LSL had life support withdrawn. The length of their PICU stay, age, presence of parents at the time of death, and severity on admission, calculated by the Pediatric Index of Mortality 2, were higher in patients with a report of LSL. Compared with other historical cohorts, there was a clear increase in the prevalence of LSL and, most importantly, a change in how limitations are carried out, with a high prevalence of parental participation and an increase in withdrawal of life support. Conclusions LSLs were associated with older and more severely ill patients, with a high prevalence of family participation in this process. The historical comparison showed an increase in LSL and in the withdrawal of life support.
- Subjects :
- Pediatrics
medicine.medical_specialty
Palliative care
Intensive care units, pediatric
Intensive Care Units, Pediatric
03 medical and health sciences
0302 clinical medicine
030225 pediatrics
Intensive care
Terminal care
Medicine
Humans
In patient
030212 general & internal medicine
Mortality
Child
Cuidado da criança
Retrospective Studies
Pediatric intensive care unit
Terminal Care
Intensive care units
business.industry
Medical record
Unidades de terapia intensiva pediátrica
Morte
Infant
Retrospective cohort study
Length of Stay
University hospital
Child care
Cuidados paliativos
Life Support Care
Death
pediatric
Assistência terminal
Life support
Pediatrics, Perinatology and Child Health
Mortalidade
business
Brazil
Subjects
Details
- Language :
- English
- Database :
- OpenAIRE
- Journal :
- Repositório Institucional da UFRGS, Universidade Federal do Rio Grande do Sul (UFRGS), instacron:UFRGS, Jornal de Pediatria, Volume: 97, Issue: 5, Pages: 525-530, Published: 11 OCT 2021, Jornal de Pediatria v.97 n.5 2021, Jornal de Pediatria, Sociedade Brasileira de Pediatria (SBP), instacron:SBPE
- Accession number :
- edsair.doi.dedup.....8d123a808d81c7a1af680d30eb091119