General paediatric inpatient deaths over a 15-year period

Paediatrics & Child Health
Amanda RothJeremy N Friedman

Abstract

To retrospectively review trends of general paediatric inpatient deaths at a tertiary care children's hospital over a 15-year period. Data were collected for all patients who died on the general paediatric wards or paediatric intensive care unit (PICU) during 1998, 2005 or 2012 and had a 'general paediatric condition'-an underlying condition or diagnosis that would normally result in admission to a general paediatric ward. Data were related to: demographics, health services utilization, information about provision and orders related to cardiopulmonary resuscitation (CPR) at time of death and involvement of palliative care services. Eighty-five inpatients met inclusion criteria: 35 in 1998, 27 in 2005 and 23 in 2012. Nearly 95% of general paediatric patients who died in 1998 did so in the PICU, 59.3% in 2005 and 69.6% in 2012. The median age of death decreased from 3 years in 1998 to 2 years in 2012. The proportion of patients with 'no CPR' orders at time of death increased from 31.4% in 1998 to 87.0% in 2012. Similarly, the proportion of patients with palliative care team involvement prior to death increased from less than 10% in 1998 to 73.9% in 2012. The absolute number of inpatient general paediatric deaths has decreased fro...Continue Reading

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Citations

Dec 2, 2021·Journal of Palliative Medicine·Jessica NicollCatherine Farrell

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