[Modes of dying of children in Intensive Care Units in Spain: MOMUCIP study].

Anales de pediatría : publicación oficial de la Asociación Española de Pediatría (A.E.P.)
María Carmen Agra TuñasLos miembros del grupo de trabajo de MOMUCIP RETROSPECTIVO

Abstract

To describe the different types of child deaths in Paediatric Intensive Care Units (PICU) in Spain, and to analyse the characteristics of those dying from a limitation of therapeutic efforts (LET). A multicentre retrospective study by conducted by reviewing the hospital discharge reports corresponding to deceased patients in 8 Spanish PICUs between 2011 and 2017. A total of 337 deaths were recorded, of which 151 (50'7%) occurred after a decision of LET, while 114 (33'8%) were due to an indicated, but failed, cardiopulmonary resuscitation, and 52 (15.4%) were due to brain death. The most common causes of hospital admission for those children that finally died were a heart-related problem (32.6%) or a respiratory problem (22.6%). A total of 86 cases (25.5%) had a previous hospital admission, with 253 cases (75%) suffering from some type of chronical illness, and 78 (23%) had a serious disability at the time of the admission. LET cases were more frequent among these children and those suffering from cancer. The predominant LET type consisted in: not starting the CPR in the event of a cardiac arrest (45%), withdrawal of the respiratory support (31.6%), and withdrawal of vasoactive drugs (21.6%). At the present time, at least half o...Continue Reading

Citations

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)
Oct 4, 2020·Current Opinion in Pediatrics·Akash VirupakshaiahMatthew P Kirschen
Apr 21, 2021·Journal of Critical Care·Emilio Rodriguez-RuizAntonio Rodríguez-Núñez
Sep 3, 2021·Pediatric Transplantation·Sonia CaseríoUNKNOWN Neo-Spain Donation Group

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