End-of-life care in a regional level IV neonatal intensive care unit after implementation of a palliative care initiative

Objective: We hypothesized that the implementation of a neonatal palliative care initiative will result in improved markers of end-of-life care. Study design: A retrospective and prospective chart review of neonatal intensive care unit deaths was performed for 24 months before, 16 months during and...

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Bibliographic Details
Published in:Journal of perinatology 2015-03, Vol.35 (3), p.223-228
Main Authors: Samsel, C, Lechner, B E
Format: Article
Language:English
Subjects:
692/308/409
Demographics
Female
Health Personnel - education
Hospice care
Humans
Infant, Newborn
Intensive care
Intensive Care Units, Neonatal - organization & administration
Male
Medicine
Medicine & Public Health
Methods
Neonatal intensive care
Neonates
Newborn babies
original-article
Palliation
Palliative Care
Palliative treatment
Pediatric Surgery
Pediatrics
Practice Guidelines as Topic
Prospective Studies
Quality of Life
Retrospective Studies
Terminal Care
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Summary:Objective: We hypothesized that the implementation of a neonatal palliative care initiative will result in improved markers of end-of-life care. Study design: A retrospective and prospective chart review of neonatal intensive care unit deaths was performed for 24 months before, 16 months during and 24 months after the implementation of palliative care provider education and practice guidelines ( n =106). Ancillary care, redirection of care, palliative medication usage and outcome meetings in the last 48 h of life and basic demographic data were compared between epochs. Parametric and nonparametric analysis was performed. Result: There was an increase in redirection of care and palliative medication usage and a decrease in variability of use of end-of-life interventions ( P =0.012, 0.022 and
ISSN:0743-8346
1476-5543
DOI:10.1038/jp.2014.189