The Impact Of A Perinatal Palliative Care On Length Of Stay, Icu Days And Invasive Procedures

Title

The Impact Of A Perinatal Palliative Care On Length Of Stay, Icu Days And Invasive Procedures

Creator

Kamrath H; Needle J; Osterholm E; Stover-Haney R

Identifier

DOI: http://dx.doi.org/10.1016/j.jpainsymman.2015.12.201

Publisher

Journal Of Pain And Symptom Management

Date

2016

Description

Objectives
Describe the history, epidemiology, and role of
perinatal palliative care.
Examine the impact of perinatal palliative care on
neonatal outcomes at the University of
Minnesota.
Explore the potential benefits of perinatal palliative
care for the infant, the parent, and the
healthcare system.
Original Research Background. The Perinatal Palliative
Care Program (PPCP) at the University of Minnesota
is a multidisciplinary program involving maternalfetal
medicine, neonatology, genetics and social work.
This team coordinates palliative care services for families
whose infants have prenatally diagnosed lifelimiting
conditions.
Research Objectives. The aim of this study was to
investigate the impact of perinatal palliative care
planning on care provided for infants born with a
life-limiting condition. We hypothesized that perinatal
palliative care planning would decrease length
of stay (LOS), number of neonatal intensive care
unit (NICU) days, and number of invasive
procedures.
Methods. This was a retrospective chart review of infants
with life-limiting conditions treated from 1/01/
11-9/30/14. Infants were identified through PPCP records
and NICU death records. Descriptive statistics
were used to describe the patient populations, continuous
data was analyzed using the Mann-Whitney U
test, and categorical data were analyzed with Fischer’s
exact test.
Results. Twenty-seven infants were identified, 18 in
the PPCP cohort and 9 in the No PPCP cohort. Infants
with an active palliative care plan at birth had a statistically
significant decrease in number of NICU days
(p¼0.001), invasive procedures performed
(p¼0.0008), CPR (p¼0.002) and resuscitation medication
administration (p¼0.008).
Conclusion. Perinatal palliative care is a relatively
recent concept in the field of palliative care medicine.
This study provides novel data that a perinatal palliative
care program can alter interaction with the healthcare
system after birth for newborns with life-limiting
conditions.
Implications for Research, Policy, and
Practice. Given the alteration in interaction with
the medical system after birth, perinatal palliative
care planning may lead to a decreased stress burden
on families, caregivers and the infant. Additionally,
perinatal palliative care planning may decrease cost
of care for these infants. Future research involving
families and caregivers would be informative.
N

Rights

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).

Citation List Month

March 2016 List

Citation

Kamrath H; Needle J; Osterholm E; Stover-Haney R, “The Impact Of A Perinatal Palliative Care On Length Of Stay, Icu Days And Invasive Procedures,” Pediatric Palliative Care Library, accessed July 25, 2021, https://pedpalascnetlibrary.omeka.net/items/show/10584.

Social Bookmarking