Your browser doesn't support javascript.
loading
Palliative care is not associated with decreased intensity of care: Results of a chart review from a large children's hospital.
Sedig, Laura K; Spruit, Jessica L; Southwell, Jessica; Paul, Trisha K; Cousino, Melissa K; McCaffery, Harlan; Pituch, Kenneth; Hutchinson, Raymond.
Afiliação
  • Sedig LK; University of Michigan, Department of Pediatrics, Division of Pediatric Hematology Oncology, Ann Arbor, Michigan.
  • Spruit JL; University of Michigan, Department of Pediatrics, Division of Pediatric Hematology Oncology, Ann Arbor, Michigan.
  • Southwell J; Wayne State University College of Nursing, Detroit, Michigan.
  • Paul TK; University of Michigan, Michigan Hospital Medicine Safety Consortium, Ann Arbor, Michigan.
  • Cousino MK; University of Minnesota, Department of Pediatrics, Minneapolis, Minnesota.
  • McCaffery H; University of Michigan, Department of Pediatrics, Division of Pediatric Psychology, Ann Arbor, Michigan.
  • Pituch K; University of Michigan, Department of Pediatrics, Ann Arbor, Michigan.
  • Hutchinson R; University of Michigan, Department of Pediatrics, Pediatric Palliative Care Program, Ann Arbor, Michigan.
Pediatr Blood Cancer ; 69(3): e29391, 2022 03.
Article em En | MEDLINE | ID: mdl-34606158
BACKGROUND: Palliative care is an important component of pediatric oncology care, especially for children who will not be cured of their disease. However, barriers remain to integration of this service. One barrier is the perception that it indicates "giving up." This study examined if palliative care involvement was associated with a decreased intensity of care at the end of life for children with malignancy at a large academic center with a well-established palliative care program. PROCEDURE: This is a retrospective chart review that measured intensity of care as the number of emergency department visits, hospital days, and intensive care unit days in the last one and three months of life. The data were compared for patients with and without palliative care involvement and with and without hospice involvement. RESULTS: Palliative involvement was not associated with a decrease in the intensity of care in the last three months of life. Hospice care was associated with a decreased intensity of care. These results held true in analyses adjusted for age at death, gender, and type of malignancy. CONCLUSIONS: These data can reassure patients, families, and providers that palliative involvement does not necessitate decreased intensity of care. Patients and families often choose hospice care to decrease the amount of time spent at the hospital and it was associated with meeting that goal.
Assuntos
Palavras-chave

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Assistência Terminal / Cuidados Paliativos na Terminalidade da Vida / Neoplasias Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: Pediatr Blood Cancer Assunto da revista: HEMATOLOGIA / NEOPLASIAS / PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article

Texto completo: 1 Bases de dados: MEDLINE Assunto principal: Assistência Terminal / Cuidados Paliativos na Terminalidade da Vida / Neoplasias Tipo de estudo: Observational_studies / Risk_factors_studies Limite: Child / Humans Idioma: En Revista: Pediatr Blood Cancer Assunto da revista: HEMATOLOGIA / NEOPLASIAS / PEDIATRIA Ano de publicação: 2022 Tipo de documento: Article