End-of-life practices in patients admitted to pediatric intensive care units in Brazil: A retrospective study
J. pediatr. (Rio J.)
;
97(5): 525-530, Sept.-Oct. 2021. tab
Artigo
em Inglês
| LILACS
| ID: biblio-1340168
ABSTRACT
Abstract Objective: To determine the prevalence of life support limitation (LSL) in patients who died after at least 24 h of a pediatric intensive care unit (PICU) stay, parent participation and to describe how this type of care is delivered. Methods: Retrospective cohort study in a tertiary PICU at a university hospital in Brazil. All patients aged 1 month to 18 years who died were eligible for inclusion. The exclusion criteria were those brain death and death within 24 h of admission. Results: 53 patients were included in the study. The prevalence of a LSL report was 45.3%. Out of 24 patients with a report of LSL on their medical records only 1 did not have a donot-resuscitate order. Half of the patients with a report of LSL had life support withdrawn. The length of their PICU stay, age, presence of parents at the time of death, and severity on admission, calculated by the Pediatric Index of Mortality 2, were higher in patients with a report of LSL. Compared with other historical cohorts, there was a clear increase in the prevalence of LSL and, most importantly, a change in how limitations are carried out, with a high prevalence of parental participation and an increase in withdrawal of life support. Conclusions: LSLs were associated with older and more severely ill patients, with a high prevalence of family participation in this process. The historical comparison showed an increase in LSL and in the withdrawal of life support.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Assistência Terminal
/
Cuidados para Prolongar a Vida
Tipo de estudo:
Estudo observacional
/
Fatores de risco
Limite:
Criança
/
Humanos
/
Lactente
País/Região como assunto:
América do Sul
/
Brasil
Idioma:
Inglês
Revista:
J. pediatr. (Rio J.)
Assunto da revista:
Pediatria
Ano de publicação:
2021
Tipo de documento:
Artigo
País de afiliação:
Brasil
Instituição/País de afiliação:
Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)/BR
/
Universidade Federal do Rio Grande do Sul (UFRGS)/BR
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