Inpatient Pediatric Palliative Care Consult Requests and Recommendations.

Inpatient Pediatric Palliative Care Consult Requests and Recommendations.
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DOI:
10.1016/j.pedhc.2021.10.004
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发表时间:
2022-05
影响因子:
2.8
通讯作者:
Brittan, Mark
Brittan, Mark
中科院分区:
医学4区
文献类型:
--
作者:
Carter, Kristin;Raybin, Jennifer;Ambroggio, Lilliam;Frydenlund, Mitchell;Thomas, Jacob;Squiers, Kathryn;Brittan, Mark

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关于住院儿科姑息治疗(PPC)咨询师的要求和建议,以及他们是否因患者位置(病房与重症监护病房(ICU))或患者类型(新患者与已建立的PPC)而不同,我们知之甚少。单中心、回顾性队列研究比较了2018年1月1日至2019年6月30日期间接受PPC咨询的儿童的PPC咨询请求和建议。采用双变量统计对1)患者位置和2)患者类型进行比较。评估了327次PPC遭遇。在会诊中,病区患者的症状比ICU患者更容易得到解决。与已就诊的患者相比,新患者的会诊明显晚于住院时间,更有可能是为了心理社会支持或护理目标。我们发现PPC咨询请求和建议的可变性可能为未来的工作和对初级提供者的有针对性的教育提供信息。
Little is known about the requests for and recommendations from inpatient pediatric palliative care (PPC) consults and whether they differ by patient location (ward versus intensive care unit (ICU)) or patient type (new versus established with PPC). Single-center, retrospective cohort study comparing PPC consult requests and recommendations for children who received a PPC consult between 1/1/2018 and 6/30/2019. Comparisons were made by 1) patient location and 2) patient type using bivariate statistics. Three hundred and twenty-seven PPC encounters were evaluated. Symptoms were more likely to be addressed in consults for ward patients than for ICU 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. We found variability in PPC consult requests and recommendations that may inform future work and targeted education for primary providers.
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