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Titolo:
NO RESUSCITATION ORDERS AND WITHDRAWAL OF THERAPY IN FRENCH PEDIATRICINTENSIVE-CARE UNITS
Autore:
MARTINOT A; GRANDBASTIEN B; LETEURTRE S; DUHAMEL A; LECLERC F;
Indirizzi:
HOP JEANNE DE FLANDRE,SERV REANIMAT PHYSIOL,2 PL O LAMBRET F-59037 LILLE FRANCE CH & U LILLE,CERIM,PAEDIAT INTENS CARE UNIT LILLE FRANCE CH & U LILLE,CERIM,DEPT EPIDEMIOL & PUBL HLTH LILLE FRANCE CH & U LILLE,CERIM,DEPT BIOSTAT LILLE FRANCE
Titolo Testata:
Acta paediatrica
fascicolo: 7, volume: 87, anno: 1998,
pagine: 769 - 773
SICI:
0803-5253(1998)87:7<769:NROAWO>2.0.ZU;2-9
Fonte:
ISI
Lingua:
ENG
Soggetto:
PEDIATRIC RISK; DEATH; MODES; SCORE;
Keywords:
DEATH; PEDIATRIC INTENSIVE CARE UNITS; SEVERITY OF ILLNESS; WITHDRAWAL OF LIFE SUPPORT CARE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
18
Recensione:
Indirizzi per estratti:
Citazione:
A. Martinot et al., "NO RESUSCITATION ORDERS AND WITHDRAWAL OF THERAPY IN FRENCH PEDIATRICINTENSIVE-CARE UNITS", Acta paediatrica, 87(7), 1998, pp. 769-773

Abstract

Objective: To determine the incidence of different modes of death in French paediatric intensive care units and to compare patients' characteristics, including a severity of illness score (Paediatric Risk of Mortality: PRISM score) and prior health status (Paediatric Overall Performance Category scale), according to the mode of death. Design: A 4-month prospective cohort study. Setting. Nine French multidisciplinarypaediatric intensive care units. patients. All patients who died in PICUs, except premature babies. Main results: Among 712 admissions, 13%patients died. Brain death was declared in 20%, failure of cardiopulmonary resuscitation occurred in 26%, do-not-resuscitate status was identified in 27%, and withdrawal of supportive therapy was noted in 27%. The PRISM score and the baseline Paediatric Overall Performance Category were not different between the four groups. Brain-dead patients were older than those in whom a do-not-resuscitate order and withdrawal of therapy were made (median age 81 vs 7 and 4 months). Conclusions: Decisions to limit or to withdraw supportive care were made for a majority of patients dying in French paediatric intensive care units. Chronic health evaluation and severity of illness index are not sufficient to describe dead-patient populations.

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Documento generato il 27/09/20 alle ore 22:43:56