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Optimizing resource utilization: palliative care consultations in critically ill pediatric trauma patients.
Goswami, Julie; Baxter, Jacob; Schiltz, Brenda M; Elsbernd, Terri A; Arteaga, Grace M; Klinkner, Denise B.
Afiliación
  • Goswami J; Division of Acute Care Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, New Jersey, USA.
  • Baxter J; Rutgers Acute Care Surgery Research (RASR) Lab, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.
  • Schiltz BM; Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.
  • Elsbernd TA; Department of Pediatrics, Mayo Clinic, Rochester, New York, USA.
  • Arteaga GM; Department of Surgery, Mayo Clinic, Rochester, Minnesota, USA.
  • Klinkner DB; Department of Pediatrics, Mayo Clinic, Rochester, New York, USA.
Trauma Surg Acute Care Open ; 8(1): e001143, 2023.
Article en En | MEDLINE | ID: mdl-38020850
Objectives: The American College of Surgeons Trauma Quality Improvement Program (TQIP) and Committee on Trauma released a best practice guideline for palliative care in trauma patients in 2017. Utilization of pediatric palliative care services for pediatric trauma patients has not been studied. We sought to identify patients who received the consultation and develop criteria for patients who would benefit from these resources at our institution. Methods: The institutional pediatric trauma registry was queried to identify all admissions age 0-17 years old to the pediatric intensive care unit (PICU) or trauma ICU (TICU) from 2014 to 2021. Demographic and clinical features were obtained from the registry. Electronic medical records were reviewed to identify and review consultations to the ComPASS team. A clinical practice guideline (CPG) for palliative care consultations was developed based on the TQIP guideline and applied retrospectively to patients admitted 2014-2021. The CPG was then prospectively applied to patients admitted from March through November 2022. Results: A total of 399 patients were admitted to the PICU/TICU. There were 30 (7.5%) deaths, 20 (66.7%) within 24 hours of admission. Palliative care consultations were obtained in 21 (5.3%). Of these, 10 (47.6%) patients were infants/toddlers
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Trauma Surg Acute Care Open Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Trauma Surg Acute Care Open Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido