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DC Field | Value | Language |
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dc.contributor.author | Bobillo Pérez, Sara | - |
dc.contributor.author | Segura Matute, Susana | - |
dc.contributor.author | Girona Alarcón, Mònica | - |
dc.contributor.author | Felipe Villalobos, Aida | - |
dc.contributor.author | Balaguer Gargallo, Mònica | - |
dc.contributor.author | Hernández Platero, Lluisa | - |
dc.contributor.author | Solé Ribalta, Anna | - |
dc.contributor.author | Guitart, Carmina | - |
dc.contributor.author | Jordán García, Iolanda | - |
dc.contributor.author | Cambra Lasaosa, Francisco José | - |
dc.date.accessioned | 2021-03-09T14:10:57Z | - |
dc.date.available | 2021-03-09T14:10:57Z | - |
dc.date.issued | 2020-05-28 | - |
dc.identifier.issn | 1472-684X | - |
dc.identifier.uri | http://hdl.handle.net/2445/174832 | - |
dc.description.abstract | Background: The purpose of this paper is to describe how end-of-life care is managed when life-support limitationis decided in a Pediatric Intensive Care Unit and to analyze the influence of the further development of the Palliative Care Unit. Methods: A 15-year retrospective study of children who died after life-support limitation was initiated in a pediatric intensive care unit. Patients were divided into two groups, pre- and post-palliative care unit development. Epidemiological and clinical data, the decision-making process, and the approach were analyzed. Data was obtained from patient medical records. Results: One hundred seventy-five patients were included. The main reason for admission was respiratory failure (86/175). A previous pathology was present in 152 patients (61/152 were neurological issues). The medical team and family participated together in the decision-making in 145 cases (82.8%). The family made the request in 10 cases (9 vs. 1, p = 0.019). Withdrawal was the main life-support limitation (113/175), followed by withholding lifesustaining treatments (37/175). Withdrawal was more frequent in the post-palliative group (57.4% vs. 74.3%, p = 0.031). In absolute numbers, respiratory support was the main type of support withdrawn. Conclusions: The main cause of life-support limitation was the unfavourable evolution of the underlying pathology. Families were involved in the decision-making process in a high percentage of the cases. The development of the Palliative Care Unit changed life-support limitation in our unit, with differences detected in the type of patient and in the strategy used. Increased confidence among intensivists when providing end-of-life care, and the availability of a Palliative Care Unit may contribute to improvements in the quality of end-of-life care. | - |
dc.format.extent | 8 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | BioMed Central | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.1186/s12904-020-00575-4 | - |
dc.relation.ispartof | BMC Palliative Care, 2020, vol. 19, num. 74 | - |
dc.relation.uri | https://doi.org/10.1186/s12904-020-00575-4 | - |
dc.rights | cc-by (c) Bobillo Pérez, Sara et al., 2020 | - |
dc.rights.uri | http://creativecommons.org/licenses/by/3.0/es | - |
dc.source | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) | - |
dc.subject.classification | Pediatria intensiva | - |
dc.subject.classification | Tractament pal·liatiu | - |
dc.subject.classification | Mortalitat infantil | - |
dc.subject.other | Pediatric intensive care | - |
dc.subject.other | Palliative treatment | - |
dc.subject.other | Infant mortality | - |
dc.title | End-of-life care in a pediatric intensive care unit: the impact of the development of a palliative care unit | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 703227 | - |
dc.date.updated | 2021-03-09T14:10:57Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 32466785 | - |
Appears in Collections: | Articles publicats en revistes (Cirurgia i Especialitats Medicoquirúrgiques) |
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