A retrospective review of general paediatric inpatient deaths over time

Roth, Amanda L.; Friedman, Jeremy; Rapoport, Adam; Widger, Kim

doi:10.1186/1753-6561-9-s7-a3

Cited by 1 publication

(2 citation statements)

References 9 publications

(1 reference statement)

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“…In the US, the most common location of pediatric death is the PICU (26,(33)(34)(35) versus at home or other hospital locations. Thirty to sixty percent of PICU deaths involve withdrawal of one or more forms of life sustaining medical treatment (LSMT) including mechanical support (30,33,36). Of children at EOL in the PICU, less than 1% receive HC (37,38).…”

Section: Pediatric Locational Death In the Usmentioning

confidence: 99%

“…PICUs perceive poor availability of PC related to poor visibility within the ICU as well as an insufficiently staffed PC workforce outside of larger centers (14,33). Within consultative models, successful interventions include "trigger" consults for high risk patients with consequent "ripple effects" of further consults due to a reminding presence of the consultant team and observed benefits of PC for patients (33,42,44).…”

Section: Provider Barriers Staff Concerns and Provider Availabilitymentioning

confidence: 99%

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Pediatric palliative care in the intensive care unit and questions of quality: a review of the determinants and mechanisms of high-quality palliative care in the pediatric intensive care unit (PICU)

Short¹,

Thienprayoon²

2018

Transl Pediatr

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This article reviews the state and practice of pediatric palliative care (PC) within the pediatric intensive care unit (PICU) with specific consideration of quality issues. This includes defining PC and end of life (EOL) care. We will also describe PC as it pertains to alleviating children's suffering through the provision of "concurrent care" in the ICU environment. Modes of care, and attendant strengths, of both the consultant and integrated models will be presented. We will review salient issues related to the provision of PC in the PICU, barriers to optimal practice, parental, and staff perceptions. Opportunity areas for quality improvement and the role of initiatives and measures such as education, family-based initiatives, staff needs, symptom recognition, grief, and communication follow. To conclude, we will look to the literature for PC resources for pediatric intensivists and future directions of study.

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