1 40 1 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 A name given to the resource February 2025 List 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 February List 2025 URL Address <a href="http://doi.org/10.1017/S1047951124024478" target="_blank" rel="noreferrer noopener"> http://doi.org/10.1017/S1047951124024478</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 A name given to the resource Effect of timing of palliative care consultation on end-of-life care for children with advanced cardiac disease Publisher An entity responsible for making the resource available Cardiology in the Young Date A point or period of time associated with an event in the lifecycle of the resource 2024 Subject The topic of the resource child; terminal care; cohort analysis; controlled study; female; human; major clinical study; male; resuscitation; retrospective study; palliative therapy; patient comfort; consultation; artificial ventilation; time of death; therapy; conference abstract; extracorporeal oxygenation; drug therapy; pediatric patient; coronary care unit; brain death; heart disease; chi square distribution; escalation of care; mode of death Creator An entity primarily responsible for making the resource Songer K; Wawrzynski SE; Olson L; Harousseau M; Moresco B; Fitzgerald L; Meeks H; Delgado-Corcoran C Description An account of the resource Background: Pediatric patients with advanced cardiac disease often receive high intensity medical care at the end of life (EOL). Specialized pediatric palliative care (PPC) has been shown to improve symptom management and EOL goal-concordant care, resulting in fewer invasive medical interventions prior to death. PPC has been recommended for advanced cardiac disease by the American Heart Association. However, optimal timing of PPC consultation has not been described. <br/>Method(s): In this retrospective cohort study, we compared EOL care indicators of pediatric patients (0-21 years) with heart disease treated in the cardiac intensive care unit January 2014-December 2022, who died during the same period. Patients were grouped according to whether they had received PPC and then by timing of PPC consultation: >30 days from (early) or within 30 days of death (late). Demographics, medical interventions, and mode of death (i.e., during CPR, comfort care, withdrawal of care, no escalation of care, and brain death) were compared using Kruskal- Wallis rank sum test for continuous variables and Pearson's Chisquare test and Fisher's exact test for categorical variables. <br/>Result(s): Of 218 patients included, 78 received no PPC, 76 received early PPC and 64 received late PPC. Patients who received PPC were less likely to die during cardiopulmonary resuscitation (CPR) (12.1% vs. 32.1%; p<0.001), and more likely to receive comfort care (22.9% vs 2.6%; p<0.001). They also had fewer invasive interventions within 14 days of death (74.3% vs. 92.3%; p = 0.006) and lower intensity of care at the end of life (77.1 vs. 96.2%; p<0.001). Care was considered highly intense if it included ECMO, mechanical ventilation, or vasoactive medications at time of death, or CPR in the last 7 days prior to death. Mode of death was not significantly different between early and late PPC groups. Patients who received early PPC were less likely to have invasive interventions within 14 days of death (65.8% vs. 84.4%; p = 0.006), but the intensity of care was not different (75% vs. 79.7%; p = 0.511). <br/>Conclusion(s): Early PPC consultation, at least 30 days before death, was significantly associated with enhanced EOL indicators. Further exploration is warranted to determine optimal timing to improve mode of death and to assess for additional potential benefits of PPC involvement. Identifier An unambiguous reference to the resource within a given context <a href="http://doi.org/10.1017/S1047951124024478" target="_blank" rel="noreferrer noopener">10.1017/S1047951124024478</a> Rights Information about rights held in and over the resource 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). 2024 Artificial Ventilation Brain Death Cardiology In The Young chi square distribution Child Cohort Analysis conference abstract Consultation Controlled Study coronary care unit Delgado-Corcoran C Drug Therapy escalation of care extracorporeal oxygenation February List 2025 Female Fitzgerald L Harousseau M heart disease Human Major Clinical Study Male Meeks H mode of death Moresco B Olson L Palliative Therapy Patient Comfort pediatric patient Resuscitation Retrospective Study Songer K Terminal Care Therapy time of death Wawrzynski SE