Inpatient Pediatric Palliative Care Consult Requests and Recommendations

被引:5
作者
Carter, Kristin [1 ,8 ]
Raybin, Jennifer [2 ]
Ambroggio, Lilliam [3 ]
Frydenlund, Mitchell [4 ]
Thomas, Jacob [5 ]
Squiers, Kathryn [6 ]
Brittan, Mark [7 ]
机构
[1] Northwestern Univ Feinberg Sch Med, Ann & Robert H Lurie Childrens Hosp Chicago, Dept Pediat, Div Palliat Care, Chicago, IL USA
[2] Univ Colorado Sch Med, Childrens Hosp Colorado, Dept Pediat, Pediat Palliat Care Program Leader, Aurora, CO USA
[3] Univ Colorado Sch Med, Sect Emergency Med & Hosp Med, Childrens Hosp Colorado, Dept Pediat, Aurora, CO USA
[4] Univ Colorado Sch Med, Aurora, CO USA
[5] Adult & Child Consortium Hlth Outcomes Res & Deliv, Aurora, CO USA
[6] Univ Chicago, Sect Pediat Hosp Med, Hosp s, Dept Pediat, Comer Children&39, Chicago, IL USA
[7] Univ Colorado Sch Med, Sect Hosp Med, Childrens Hosp Colorado, Dept Pediat, Aurora, CO USA
[8] Ann & Robert HLurie Childrens Hosp Chicago, Div Palliat Care, 225 E Chicago Ave, Box 117, Chicago, IL 60611 USA
基金
美国国家卫生研究院;
关键词
Pediatric palliative care; inpatient palliative care; palliative care consults; BARRIERS; PERCEPTIONS; TEAM;
D O I
10.1016/j.pedhc.2021.10.004
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Introduction: Little is known about the requests for and recom-mendations from inpatient pediatric palliative care (PPC) consults and whether they differ by patient location (ward vs. intensive care unit) or patient type (new vs. established with PPC).& nbsp;Methods: Single-center, retrospective cohort study comparing PPC consult requests and recommendations for children who received a PPC consult between January 1, 2018 and June 30, 2019. Comparisons were made by patient location and patient type using bivariate statistics.& nbsp;Results: Three hundred twenty-seven PPC encounters were evalu-ated. Symptoms were more likely to be addressed in consults for ward patients than for intensive care unit patients. Compared with established patients, consults for new patients occurred significantly later in the hospital course and were more likely to be for psychosocial support or goals of care.& nbsp;Discussion: We found variability in PPC consult requests and recommendations that may inform future work and targeted education for primary providers.
引用
收藏
页码:248 / 255
页数:8
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