scholarly journals A Child's Last Hours'Multidisciplinary Training in End-of-Life Care in Children's Hospitals: School-Aged Child With Terminal Cancer

MedEdPORTAL ◽  
2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Adam Marks ◽  
Elizabeth Hollenkamp ◽  
Sandra Bradman ◽  
D'Anna Saul ◽  
Matthew Niedner ◽  
...  
MedEdPORTAL ◽  
2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Patricia Keefer ◽  
Ken Pituch ◽  
Terry Murphy ◽  
James Azim ◽  
Cecilia Trudeau ◽  
...  

PEDIATRICS ◽  
2021 ◽  
Vol 148 (6) ◽  
Author(s):  
Michael D. Traynor ◽  
Ryan M. Antiel ◽  
Maraya N. Camazine ◽  
Thane A. Blinman ◽  
Michael L. Nance ◽  
...  

OBJECTIVES To characterize patterns of surgery among pediatric patients during terminal hospitalizations in children’s hospitals. METHODS We reviewed patients ≤20 years of age who died among 4 424 886 hospitalizations from January 2013–December 2019 within 49 US children’s hospitals in the Pediatric Health Information System database. Surgical procedures, identified by International Classification of Diseases procedure codes, were classified by type and purpose. Descriptive statistics characterized procedures, and hypothesis testing determined if undergoing surgery varied by patient age, race and ethnicity, or the presence of chronic complex conditions (CCCs). RESULTS Among 33 693 terminal hospitalizations, the majority (n = 30 440, 90.3%) of children were admitted for nontraumatic causes. Of these children, 15 142 (49.7%) underwent surgery during the hospitalization, with the percentage declining over time (P < .001). When surgical procedures were classified according to likely purpose, the most common were to insert or address hardware or catheters (31%), explore or aid in diagnosis (14%), attempt to rescue patient from mortality (13%), or obtain a biopsy (13%). Specific CCC types were associated with undergoing surgery. Surgery during terminal hospitalization was less likely among Hispanic children (47.8%; P < .001), increasingly less likely as patient age increased, and more so for Black, Asian American, and Hispanic patients compared with white patients (P < .001). CONCLUSIONS Nearly half of children undergo surgery during their terminal hospitalization, and accordingly, pediatric surgical care is an important aspect of end-of-life care in hospital settings. Differences observed across race and ethnicity categories of patients may reflect different preferences for and access to nonhospital-based palliative, hospice, and end-of-life care.


MedEdPORTAL ◽  
2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Terry Murphy ◽  
D'Anna Saul ◽  
Elizabeth Hollenkamp ◽  
Matthew Niedner ◽  
James Azim ◽  
...  

2014 ◽  
Vol 19 (12) ◽  
pp. 1241-1248 ◽  
Author(s):  
Chun‐Ming Chang ◽  
Chin‐Chia Wu ◽  
Wen‐Yao Yin ◽  
Shiun‐Yang Juang ◽  
Chia‐Hui Yu ◽  
...  

2018 ◽  
Vol 56 (6) ◽  
pp. e144
Author(s):  
Kaichiro Tamba ◽  
Maki Asakura ◽  
Atsushi Shimizu ◽  
Daisuke Nagata

2013 ◽  
Vol 16 (2) ◽  
pp. 173-178 ◽  
Author(s):  
Toshitaka Morishima ◽  
Jason Lee ◽  
Tetsuya Otsubo ◽  
Hiroshi Ikai ◽  
Yuichi Imanaka

2013 ◽  
Vol 34 (6) ◽  
pp. 720-730 ◽  
Author(s):  
June Koo Lee ◽  
Young Ho Yun ◽  
Ah Reum An ◽  
Dae Seog Heo ◽  
Byeong-Woo Park ◽  
...  

2012 ◽  
Vol 23 ◽  
pp. ix465
Author(s):  
J.K. Lee ◽  
D.S. Heo ◽  
A.R. An ◽  
Y.H. Yun

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