Pediatr Crit Care Me
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Pediatr Crit Care Me · Feb 2016
Multicenter StudyPediatric Intensive Care in PICUs and Adult ICUs: A 2-Year Cohort Study in Finland.
To investigate the association between the type of ICU and mortality for children treated at PICUs and adult ICUs. ⋯ Pediatric patients treated at PICUs showed lower mortality. Requirement of mechanical ventilation, emergency admission, and readmission less than 48 hours after discharge and cardiovascular, gastrointestinal, acute infections, hematologic/oncologic disease, and nonsurgical trauma were associated with higher risk of mortality.
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Pediatr Crit Care Me · Feb 2016
Multicenter StudyLimiting and Withdrawing Life Support in the PICU: For Whom Are These Options Discussed?
Most deaths in U.S. PICUs occur after a decision has been made to limitation or withdrawal of life support. The objective of this study was to describe the clinical characteristics and outcomes of children whose families discussed limitation or withdrawal of life support with clinicians during their child's PICU stay and to determine the factors associated with limitation or withdrawal of life support discussions. ⋯ Clinical factors reflecting type and severity of illness, sociodemographics, and institutional practices may influence whether limitation or withdrawal of life support is discussed with families of PICU patients. Most children whose families discuss limitation or withdrawal of life support die during their PICU stay; survivors often have substantial disabilities.