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Dublin Core
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Title
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November 2018 List
Text
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Citation List Month
November 2018 List
URL Address
<a href="http://doi.org/10.1177/1049909117743474" target="_blank" rel="noreferrer noopener">http://doi.org/10.1177/1049909117743474</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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Life-Sustaining Treatment Status at the Time of Death in a Japanese Pediatric Intensive Care Unit
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American Journal of Hospice & Palliative Medicine
Date
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2018
Subject
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decision making;Intensive Care Units;Life Support Care;Terminal Care sn [Statistics & Numerical Data];Adolescent;Artificial;Brain Death di [Diagnosis];Child;Female;Humans;Length of Stay;Life Support Care;Male;Pediatric sn [Statistics & Numerical Data];Preschool;Respiration;Resuscitation Orders;Retrospective Studies;Terminal Care px [Psychology];Time Factors;Withholding Treatment
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Suzuki F;Takeuchi M;Tachibana K;Isaka K;Inata Y;Kinouchi K
Description
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BACKGROUND: Substantial variability exists among countries regarding the modes of death in pediatric intensive care units (PICUs). However, there is limited information on end-of-life care in Japanese PICUs. Thus, this study aimed to elucidate the characteristics of end-of-life care practice for children in a Japanese PICU. METHODS: We examined life-sustaining treatment (LST) status at the time of death based on medical chart reviews from 2010 to 2014. All deaths were classified into 3 groups: limitation of LST (limitation group, death after withholding or withdrawal of LST or a do not attempt resuscitation order), no limitation of LST (no-limitation group, death following failed resuscitation attempts), or brain death (brain death group). RESULTS: Of the 62 patients who died, 44 (71%) had limitation of LST, 18 (29%) had no limitation of LST, and none had brain death. In the limitation group, the length of PICU stay was longer than that in the no-limitation group (13.5 vs 2.5 days; P = .01). The median time to death after the decision to limit LST was 2 days (interquartile range: 1-5.5 days), and 94% of the patients were on mechanical ventilation at the time of death in the limitation group. CONCLUSIONS: Although limiting LST was a common practice in end-of-life care in a Japanese PICU, a severe limitation of LST such as withdrawal from the ventilator was hardly practiced, and a considerable LST was still provided at the time of death.
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<a href="http://doi.org/10.1177/1049909117743474" target="_blank" rel="noreferrer noopener">10.1177/1049909117743474</a>
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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).
2018
Adolescent
American Journal of Hospice & Palliative Medicine
Artificial
Brain Death di [Diagnosis]
Child
Decision Making
Female
Humans
Inata Y
Intensive Care Units
Isaka K
Kinouchi K
Length Of Stay
Life Support Care
Male
November 2018 List
Pediatric sn [Statistics & Numerical Data]
Preschool
Respiration
Resuscitation Orders
Retrospective Studies
Suzuki F
Tachibana K
Takeuchi M
Terminal Care px [Psychology]
Terminal Care sn [Statistics & Numerical Data]
Time Factors
Withholding Treatment