BACKGROUND: The mortality for children with prolonged stay in pediatric intensive care units (PICU) is much higher than overall mortality. The incidence of withdrawal or limitation of therapy in this group is unknown. PURPOSE: To assess mortality and characteristics of children admitted for >or=28 days to our ICU, and to describe the extent to which limitations of care were involved in the terminal phase preceding death. METHODS: For the period 2003 to 2005 clinical data were collected retrospectively for children with prolonged stay (defined as >or=28 days) in a medical/surgical PICU of a university children's hospital. RESULTS: In the PICU, 4.4% of the children (116/2,607, equal gender, mean age 29 days) had a prolonged stay. Median (range) stay was 56 (28-546) days. These children accounted for 3% of total admissions and occupied 63% of total admission days. Mortality during admission for this group was five times higher (22%) than the average PICU mortality rate of 4.6%. Withdrawal or limitation of therapy preceded 70% of deaths. CONCLUSIONS: Children with prolonged stay in the PICU have a significantly high risk of mortality. Death is typically preceded by limitation of care.
BACKGROUND: The mortality for children with prolonged stay in pediatric intensive care units (PICU) is much higher than overall mortality. The incidence of withdrawal or limitation of therapy in this group is unknown. PURPOSE: To assess mortality and characteristics of children admitted for >or=28 days to our ICU, and to describe the extent to which limitations of care were involved in the terminal phase preceding death. METHODS: For the period 2003 to 2005 clinical data were collected retrospectively for children with prolonged stay (defined as >or=28 days) in a medical/surgical PICU of a university children's hospital. RESULTS: In the PICU, 4.4% of the children (116/2,607, equal gender, mean age 29 days) had a prolonged stay. Median (range) stay was 56 (28-546) days. These children accounted for 3% of total admissions and occupied 63% of total admission days. Mortality during admission for this group was five times higher (22%) than the average PICU mortality rate of 4.6%. Withdrawal or limitation of therapy preceded 70% of deaths. CONCLUSIONS:Children with prolonged stay in the PICU have a significantly high risk of mortality. Death is typically preceded by limitation of care.
Authors: Marco Piastra; Alessandro Pizza; Federica Tosi; Sonia Mensi; Luca Massimi; Andrea De Bellis; Daniele G Biasucci; Ersilia Luca; Giorgio Conti; Daniele De Luca Journal: Neurocrit Care Date: 2017-06 Impact factor: 3.210
Authors: Angela Hui Ping Kirk; Qian Wen Sng; Lu Qin Zhang; Judith Ju Ming Wong; Janil Puthucheary; Jan Hau Lee Journal: J Pediatr Intensive Care Date: 2017-03-20
Authors: Massimo Antonelli; Elie Azoulay; Marc Bonten; Jean Chastre; Giuseppe Citerio; Giorgio Conti; Daniel De Backer; Herwig Gerlach; Goran Hedenstierna; Michael Joannidis; Duncan Macrae; Jordi Mancebo; Salvatore M Maggiore; Alexandre Mebazaa; Jean-Charles Preiser; Jerôme Pugin; Jan Wernerman; Haibo Zhang Journal: Intensive Care Med Date: 2011-02-03 Impact factor: 17.440
Authors: Félicitée Nguefack; Evelyn Mah; Mina Ntoto Kinkela; Thierry Tagne; David Chelo; Roger Dongmo; Paul Koki Ndombo Journal: Pan Afr Med J Date: 2020-08-05