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A Retrospective Review of Resuscitation Planning at a Children’s Hospital

Resuscitation plans (RP) are an important clinical indicator relating to care at the end of life in paediatrics. A retrospective review of the medical records of children who had been referred to the Royal Children’s Hospital, Brisbane, Australia who died in the calendar year 2011 was performed. Of...

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Autores principales: Kelly, Jean, Ritchie, Jo, Donovan, Leigh, Graham, Carol, Herbert, Anthony
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789291/
https://www.ncbi.nlm.nih.gov/pubmed/29300339
http://dx.doi.org/10.3390/children5010009
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author Kelly, Jean
Ritchie, Jo
Donovan, Leigh
Graham, Carol
Herbert, Anthony
author_facet Kelly, Jean
Ritchie, Jo
Donovan, Leigh
Graham, Carol
Herbert, Anthony
author_sort Kelly, Jean
collection PubMed
description Resuscitation plans (RP) are an important clinical indicator relating to care at the end of life in paediatrics. A retrospective review of the medical records of children who had been referred to the Royal Children’s Hospital, Brisbane, Australia who died in the calendar year 2011 was performed. Of 62 records available, 40 patients (65%) had a life limiting condition and 43 medical records (69%) contained a documented RP. This study demonstrated that both the underlying condition (life-limiting or life-threatening) and the setting of care (Pediatric Intensive Care Unit or home) influenced the development of resuscitation plans. Patients referred to the paediatric palliative care (PPC) service had a significantly longer time interval from documentation of a resuscitation plan to death and were more likely to die at home. All of the patients who died in the paediatric intensive care unit (PICU) had a RP that was documented within the last 48 h of life. Most RPs were not easy to locate. Documentation of discussions related to resuscitation planning should accommodate patient and family centered care based on individual needs. With varied diagnoses and settings of care, it is important that there is inter-professional collaboration, particularly involving PICU and PPC services, in developing protocols of how to manage this difficult but inevitable clinical scenario.
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spelling pubmed-57892912018-02-02 A Retrospective Review of Resuscitation Planning at a Children’s Hospital Kelly, Jean Ritchie, Jo Donovan, Leigh Graham, Carol Herbert, Anthony Children (Basel) Article Resuscitation plans (RP) are an important clinical indicator relating to care at the end of life in paediatrics. A retrospective review of the medical records of children who had been referred to the Royal Children’s Hospital, Brisbane, Australia who died in the calendar year 2011 was performed. Of 62 records available, 40 patients (65%) had a life limiting condition and 43 medical records (69%) contained a documented RP. This study demonstrated that both the underlying condition (life-limiting or life-threatening) and the setting of care (Pediatric Intensive Care Unit or home) influenced the development of resuscitation plans. Patients referred to the paediatric palliative care (PPC) service had a significantly longer time interval from documentation of a resuscitation plan to death and were more likely to die at home. All of the patients who died in the paediatric intensive care unit (PICU) had a RP that was documented within the last 48 h of life. Most RPs were not easy to locate. Documentation of discussions related to resuscitation planning should accommodate patient and family centered care based on individual needs. With varied diagnoses and settings of care, it is important that there is inter-professional collaboration, particularly involving PICU and PPC services, in developing protocols of how to manage this difficult but inevitable clinical scenario. MDPI 2018-01-04 /pmc/articles/PMC5789291/ /pubmed/29300339 http://dx.doi.org/10.3390/children5010009 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kelly, Jean
Ritchie, Jo
Donovan, Leigh
Graham, Carol
Herbert, Anthony
A Retrospective Review of Resuscitation Planning at a Children’s Hospital
title A Retrospective Review of Resuscitation Planning at a Children’s Hospital
title_full A Retrospective Review of Resuscitation Planning at a Children’s Hospital
title_fullStr A Retrospective Review of Resuscitation Planning at a Children’s Hospital
title_full_unstemmed A Retrospective Review of Resuscitation Planning at a Children’s Hospital
title_short A Retrospective Review of Resuscitation Planning at a Children’s Hospital
title_sort retrospective review of resuscitation planning at a children’s hospital
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5789291/
https://www.ncbi.nlm.nih.gov/pubmed/29300339
http://dx.doi.org/10.3390/children5010009
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