Palliative Care in Children With Heart Disease Treated in an ICU.

Pediatric Critical Care Medicine : a Journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies
Claudia Delgado-CorcoranLenora M Olson

Abstract

Describe pediatric palliative care consult in children with heart disease; retrospectively apply Center to Advance Palliative Care criteria for pediatric palliative care consults; determine the impact of pediatric palliative care on end of life. A retrospective single-center study. A 16-bed cardiac ICU in a university-affiliated tertiary care children's hospital. Children (0-21 yr old) with heart disease admitted to the cardiac ICU from January 2014 to June 2017. Over 1,000 patients (n = 1, 389) were admitted to the cardiac ICU with 112 (8%) receiving a pediatric palliative care consultation. Patients who received a consult were different from those who did not. Patients who received pediatric palliative care were younger at first hospital admission (median 63 vs 239 d; p = 0.003), had a higher median number of complex chronic conditions at the end of first hospitalization (3 vs 1; p < 0.001), longer cumulative length of stay in the cardiac ICU (11 vs 2 d; p < 0.001) and hospital (60 vs 7 d; p < 0.001), and higher mortality rates (38% vs 3%; p < 0.001). When comparing location and modes of death, patients who received pediatric palliative care were more likely to die at home (24% vs 2%; p = 0.02) and had more comfort care at th...Continue Reading

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Citations

Feb 19, 2021·Cardiology in the Young·Claudia Delgado-CorcoranLenora M Olson
Aug 5, 2021·Hospital Practice·Benjamin Moresco, Dominic Moore

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