1
40
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Dublin Core
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Title
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April 2022 List
Text
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April 2022 List
URL Address
<a href="http://doi.org/10.1097/cce.0000000000000639" target="_blank" rel="noreferrer noopener">http://doi.org/10.1097/cce.0000000000000639</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Palliative Care Utilization Following Out-of-Hospital Cardiac Arrest in Pediatrics
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Critical Care Explorations
Date
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2022
Subject
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cardiac arrest; critical care outcomes; do-not-resuscitate; goals-of-care; palliative care; pediatric intensive care unit
Creator
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Gouda SR; Bohr NL; Hoehn KS
Description
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OBJECTIVES: Pediatric out-of-hospital cardiac arrest (OHCA) is associated with significant morbidity and mortality. Pediatric palliative care (PPC) services could provide an integral component of the comprehensive care necessary for these patients and their families. The main objectives of this study are to examine the utilization of PPC following OHCA and compare the differences in characteristics between children who received PPC with those who did not. DESIGN: Retrospective cohort study. SETTING: An urban, tertiary PICU. PATIENTS: Children less than 21 years old admitted from October 2009 to October 2019 with an admitting diagnosis of OHCA and minimum PICU length of stay (LOS) of 48 hours. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Of the 283 patient charts reviewed, 118 patient encounters met inclusion criteria. Of those, 34 patients (28.8%) received a PPC consultation during hospitalization. Patients who received PPC had a longer PICU LOS (14.5 vs 4.0 d), a greater number of ventilator days (12.5 vs 4.0 d), and a larger proportion of do-not-resuscitate (DNR) statuses (41% vs 19%). When comparing the disposition of survivors, a greater proportion was discharged to rehab or nursing facilities (47% vs 28%), with no difference in mortality rates (53% vs 50%). In the multivariate logistic regression model, older age, longer LOS, and code status (DNR) were all associated with higher likelihood of PPC utilization. Data were analyzed using descriptive, Mann-Whitney U, and Fisher exact statistics. CONCLUSIONS: Our study demonstrates PPC services following OHCA are underutilized given the high degree of morbidity and mortality. The impact of automatic PPC consultation in all OHCA patients who survive beyond 48 hours should be explored further. Future studies are warranted to understand the benefits and barriers of PPC integration into standard postarrest care for patients and families.
Identifier
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<a href="http://doi.org/10.1097/cce.0000000000000639" target="_blank" rel="noreferrer noopener">10.1097/cce.0000000000000639</a>
2022
April 2022 List
Bohr NL
Cardiac Arrest
Critical Care Explorations
critical care outcomes
do-not-resuscitate
goals-of-care
Gouda SR
Hoehn KS
Palliative Care
Pediatric Intensive Care Unit
-
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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March 2023 List
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Text
A resource consisting primarily of words for reading. Examples include books, letters, dissertations, poems, newspapers, articles, archives of mailing lists. Note that facsimiles or images of texts are still of the genre Text.
Citation List Month
March List 2023
URL Address
<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"> http://doi.org/</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Why the Individual Provider Approach to Pediatric Palliative Care Consultation Exacerbates Healthcare Disparities: A Moral Argument for Standard Referral Criteria
Publisher
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Journal of Clinical Ethics
Date
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2022
Subject
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Palliative Care; Quality of Life; Child; Healthcare Disparities; Human; Morals; Palliative Care; Referral and Consultation
Creator
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Gouda SR; Hoehn KS
Description
An account of the resource
Pediatric palliative care is specialized medical care for children who live with serious and life-limiting illnesses, with the central goal to improve quality of life for both children and their families. Presently, a majority of pediatric palliative care referrals are based on the traditional consultative model, in which primary providers serve as the gatekeepers to palliative care access. It is well-known that racial and ethnic healthcare disparities exist across the continuum of care, fraught with healthcare providers' biases that impact the care delivered. This includes the referral practices, allocation and utilization of palliative care services, and leaving vulnerable children and families with potentially unmet palliative care needs. We make the moral argument that the establishment of standard referral criteria for pediatric palliative care services is one simple step that must be taken to begin to address and hopefully ameliorate the impact of providers' biases and disparities that exist within pediatric palliative care.<ovid:br/><ovid:br/> Copyright 2022 The Journal of Clinical Ethics. All rights reserved.
Identifier
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<a href="http://doi.org/" target="_blank" rel="noreferrer noopener"></a>
Rights
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
2022
Child
Gouda SR
Healthcare Disparities
Hoehn KS
Human
March List 2023
Morals
Palliative Care
Quality Of Life
Referral And Consultation
The Journal Of Clinical Ethics