[To maintain or to withdraw life support? Variations on the methods of ending life in a pediatric intensive care unit over a period of 6 years]

Title

[To maintain or to withdraw life support? Variations on the methods of ending life in a pediatric intensive care unit over a period of 6 years]

Creator

Vernaz S; Casanova L; Blanc F; Lebel S; Ughetto F; Paut O

Publisher

Annales Françaises D'anesthèsie Et De Rèanimation

Date

2014

Subject

Death; end of life; Forgoing live-support; Pediatric intensive care unit; Withholding or withdrawing life-sustaining treatments

Description

Since 2005, forgoing live-support (FLS) is allowed by the French law (known as the Leonetti law) for end-of-life patients only. This study aims at describing the variations over time in the use of the following methods to end life: FLS, brain death and cardiopulmonary resuscitation failure (CPR failure). It is a single retrospective study from 2007 to 2012. The Cochran-Armitage trend test is used in the statistical analysis. Over six years, 263 of the 5100 children who were hospitalized in our intensive care unit died, which represents a 5.2% mortality rate. FLS increased yearly from 31% of the deaths in 2007, to 71% in 2012 (P=0.0008). The rate of CPR failure decreased over the same period (P=0.0015). The rate of brain death remained constant. Following to the Leonetti law, FLS increase, and palliative cares develop without any increase of mortality.
2014-06

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).

Type

Journal Article

Citation List Month

Backlog

Pages

400-404

Issue

6

Volume

33

Citation

Vernaz S; Casanova L; Blanc F; Lebel S; Ughetto F; Paut O, “[To maintain or to withdraw life support? Variations on the methods of ending life in a pediatric intensive care unit over a period of 6 years],” Pediatric Palliative Care Library, accessed October 15, 2021, https://pedpalascnetlibrary.omeka.net/items/show/15056.

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