End-of-Life Practices Among Tertiary Care PICUs in the United States: A Multicenter Study

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Kathleen MeertEunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear

Abstract

To describe variability in end-of-life practices among tertiary care PICUs in the United States. Secondary analysis of data prospectively collected from a random sample of patients (n = 10,078) admitted to PICUs affiliated with the Collaborative Pediatric Critical Care Research Network between December 4, 2011, and April 7, 2013. Seven clinical centers affiliated with the Collaborative Pediatric Critical Care Research Network. Patients included in the primary study were less than 18 years old, admitted to a PICU, and not moribund on PICU admission. Patients included in the secondary analysis were those who died during their hospital stay. None. Two hundred and seventy-five (2.7%; range across sites, 1.3-5.0%) patients died during their hospital stay; of these, 252 (92%; 76-100%) died in a PICU. Discussions with families about limitation or withdrawal of support occurred during the initial PICU stay for 173 patients (63%; 47-76%; p = 0.27) who died. Of these, palliative care was consulted for 67 (39%; 12-46%); pain service for 11 (6%; 10 of which were at a single site); and ethics committee for six (3%, from three sites). Mode of death was withdrawal of support for 141 (51%; 42-59%), failed cardiopulmonary resuscitation for 53 (...Continue Reading

References

Jul 1, 1992·The Journal of Pediatrics·D H Fiser
Feb 24, 2001·Archives of Disease in Childhood·A Y Goh, Q Mok
May 17, 2003·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·María AlthabeLaura Vega
Nov 5, 2003·Pediatrics·Daniel GarrosPeter N Cox
Apr 30, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Denis J Devictor, Duc Tinh Nguyen
Apr 30, 2004·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Christine A Zawistowski, Michael A DeVita
Apr 29, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Délio José KipperJoão Feliz Duarte Morais
May 10, 2005·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Robert D Truog
Jun 2, 2006·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Douglas F WillsonCarol Nicholson
May 15, 2008·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Patricia M LagoUNKNOWN Brazilian Pediatric Center of Studies on Ethics
Mar 25, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Patricia A Webster, Lori Markham
Jul 1, 2009·Pediatrics·Murray M PollackUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Aug 27, 2009·Nursing in Critical Care·Rebecca SandsAsrar Rashid
Oct 2, 2009·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Douglas F WillsonUNKNOWN Eunice Kennedy Shriver National Institute of Child Health, and Human Development Collaborative Pediatric Critical Care Resea
Sep 8, 2010·Pediatrics·K Jane LeeMatthew C Scanlon
Jan 19, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Bettina von DessauerJosé Irazuzta
Jan 26, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Cristian LaunesAntonio Palomeque
Nov 10, 2011·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Harshwardhan M Thaker, Donald D Vernon
Apr 5, 2012·Archives of Pediatrics & Adolescent Medicine·Emily MorellElizabeth D Blume
Jan 15, 2013·The Journal of Pediatrics·Matteo S FontanaAnnie Janvier
Feb 26, 2013·Intensive Care Medicine·Dominic J C Wilkinson, Robert D Truog
Jul 1, 2014·Critical Care Medicine·Jeffrey P BurnsRobert D Truog
May 20, 2015·Critical Care Medicine·Murray M PollackUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Nov 1, 2013·Pediatrics·UNKNOWN SECTION ON HOSPICE AND PALLIATIVE MEDICINE AND COMMITTEE ON HOSPITAL CARE

❮ Previous
Next ❯

Citations

Jul 23, 2016·Canadian Respiratory Journal : Journal of the Canadian Thoracic Society·Kevin F YeeElaine Gilfoyle
Jan 7, 2017·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Amy Sanderson, Jeffrey P Burns
Nov 29, 2017·The American Journal of Hospice & Palliative Care·Fumiko SuzukiKeiko Kinouchi
Aug 23, 2017·Journal of Child Neurology·Ariane LewisMatthew P Kirschen
Aug 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Jonathan C Gilleland, Christopher S Parshuram
Aug 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Benedict T GriffithsJoe Brierley
Aug 11, 2018·Critical Care Medicine·Jasmine C DowellNadir Yehya
Sep 22, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Sonali BasuUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Dec 7, 2018·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Claire Stewart, Richard J Brilli
Mar 19, 2019·JAMA Pediatrics·Matthew P KirschenWynne Morrison
Apr 2, 2019·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Carmen CaicedoJulia Dankanich
Dec 17, 2015·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Linda KeeleUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Jun 28, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Yusuke SeinoTakehiro Niitsu
Mar 2, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Angelo PolitoPaola E Cogo
Nov 2, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Corina NojeSapna R Kudchadkar
Feb 25, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Anne-Sylvie RameletUNKNOWN Pediatric End-of-LIfe CAre Needs in Switzerland (PELICAN) Consortium
Jan 4, 2020·Journal of Paediatrics and Child Health·Manon AudigéZornitza Stark
May 6, 2016·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Peter C Laussen
Nov 15, 2018·Nursing in Critical Care·Freda DeKeyser Ganz, Batel Sapir
Jan 25, 2019·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Julia A HeneghanMurray M Pollack
Jul 5, 2019·Intensive Care Medicine·Katie M MoynihanUNKNOWN Australian and New Zealand Intensive Care Society Pediatric Study Group (ANZICS PSG) and the ANZICS Centre for Outcome and R
Apr 29, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Carme Agra-TuñasUNKNOWN MOdos de Morir en UCI Pediátrica-2 (MOMUCIP-2) study group of the Spanish Society of Paediatric Intensive Care (SECIP)
May 3, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Amy L Sanderson, Jeffrey P Burns
Sep 19, 2020·Journal of Hospice and Palliative Nursing : JHPN : the Official Journal of the Hospice and Palliative Nurses Association·Emily E JohnstonAbby R Rosenberg
Sep 16, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Eduardo A Trujillo RiveraMurray M Pollack
Nov 7, 2020·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Meredith C WinterPatrick A Ross
Mar 10, 2017·The Journal of Thoracic and Cardiovascular Surgery·John T BergerUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
Dec 29, 2020·Jornal de pediatria·Roiter de Albernaz FurtadoPedro Celiny Ramos Garcia
Mar 27, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·En-Ting WuFrank Leigh Lu
Aug 17, 2021·Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies·Suzanne Gouda, K Sarah Hoehn
Dec 2, 2021·Journal of Palliative Medicine·Jessica NicollCatherine Farrell

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Erin E BennettSusan L Bratton
Critical Care Medicine
M M PollackEunice Kennedy Shriver National Institute of Child Health and Human Development Collaborative Pediatric Critical Care Resear
American Journal of Respiratory and Critical Care Medicine
T J PrendergastJ M Luce
Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
P LagoBrazilian Pediatric Center of Studies on Ethics
Indian Journal of Critical Care Medicine : Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine
Naveed-Ur-Rehman SiddiquiAnwarul Haque
© 2021 Meta ULC. All rights reserved