End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Jornal de Pediatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000500525 |
Resumo: | 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 donot-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 Half of the patients with a report of LSL had life support withdrawn.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. |
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End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective studyIntensive care unitspediatricPalliative careTerminal careDeathMortalityChild careAbstract 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 donot-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.Sociedade Brasileira de Pediatria2021-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000500525Jornal de Pediatria v.97 n.5 2021reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2020.10.017info:eu-repo/semantics/openAccessFurtado,Roiter de AlbernazTonial,Cristian TedescoCosta,Caroline Abud DrumondAndrades,Gabriela Rupp HanzenCrestani,FranciellyBruno,FranciscoFiori,Humberto HolmerPiva,Jefferson PedroGarcia,Pedro Celiny Ramoseng2021-10-08T00:00:00Zoai:scielo:S0021-75572021000500525Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2021-10-08T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false |
dc.title.none.fl_str_mv |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
title |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
spellingShingle |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study Furtado,Roiter de Albernaz Intensive care units pediatric Palliative care Terminal care Death Mortality Child care |
title_short |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
title_full |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
title_fullStr |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
title_full_unstemmed |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
title_sort |
End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study |
author |
Furtado,Roiter de Albernaz |
author_facet |
Furtado,Roiter de Albernaz Tonial,Cristian Tedesco Costa,Caroline Abud Drumond Andrades,Gabriela Rupp Hanzen Crestani,Francielly Bruno,Francisco Fiori,Humberto Holmer Piva,Jefferson Pedro Garcia,Pedro Celiny Ramos |
author_role |
author |
author2 |
Tonial,Cristian Tedesco Costa,Caroline Abud Drumond Andrades,Gabriela Rupp Hanzen Crestani,Francielly Bruno,Francisco Fiori,Humberto Holmer Piva,Jefferson Pedro Garcia,Pedro Celiny Ramos |
author2_role |
author author author author author author author author |
dc.contributor.author.fl_str_mv |
Furtado,Roiter de Albernaz Tonial,Cristian Tedesco Costa,Caroline Abud Drumond Andrades,Gabriela Rupp Hanzen Crestani,Francielly Bruno,Francisco Fiori,Humberto Holmer Piva,Jefferson Pedro Garcia,Pedro Celiny Ramos |
dc.subject.por.fl_str_mv |
Intensive care units pediatric Palliative care Terminal care Death Mortality Child care |
topic |
Intensive care units pediatric Palliative care Terminal care Death Mortality Child care |
description |
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 donot-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. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-10-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000500525 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572021000500525 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1016/j.jped.2020.10.017 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
publisher.none.fl_str_mv |
Sociedade Brasileira de Pediatria |
dc.source.none.fl_str_mv |
Jornal de Pediatria v.97 n.5 2021 reponame:Jornal de Pediatria (Online) instname:Sociedade Brasileira de Pediatria (SBP) instacron:SBPE |
instname_str |
Sociedade Brasileira de Pediatria (SBP) |
instacron_str |
SBPE |
institution |
SBPE |
reponame_str |
Jornal de Pediatria (Online) |
collection |
Jornal de Pediatria (Online) |
repository.name.fl_str_mv |
Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP) |
repository.mail.fl_str_mv |
||jped@jped.com.br |
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1752122322813190144 |