دورية أكاديمية
Italian pediatric intensive care units admitting critically ill cancer children: results from a national survey.
| العنوان: | Italian pediatric intensive care units admitting critically ill cancer children: results from a national survey. |
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| المؤلفون: | Martinato M; Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.; Giuseppe Parenti Department of Statistics, Computer Science, Applications, University of Florence, Florence, Italy., Comoretto RI; Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy.; Department of Sciences of Public Health and Pediatrics, University of Turin, Turin, Italy., Biban P; University Hospital of Verona, Verona, Italy., Zanonato E; S. Bortolo Hospital, Vicenza, Italy., Simonini A; Salesi Hospital, Ancona, Italy., Montaguti A; IRCCS Giannina Gaslini Children Hospital, Genoa, Italy., Gitto E; University Hospital of Messina, Messina, Italy., Caramelli F; S. Orsola-Malpighi IRCCS University Hospital, Bologna, Italy., Ferrario S; Buzzi Children's Hospital, Milan, Italy., Sagredini R; IRCCS Burlo Garofalo Hospital, Trieste, Italy., Alaimo N; Di Cristina Children's Hospital, Palermo, Italy., Zito Marinosci G; Santobono Hospital, Naples, Italy., Rossetti E; ARCO Unit, Bambino Gesù Children's Hospital, Rome, Italy., Cecchetti C; DEA Unit, Bambino Gesù Children's Hospital, Rome, Italy., L'erario M; Meyer Children's Hospital of Florence, Florence, Italy., Vasile B; Spedali Civili, Brescia, Italy., Ivani G; AOU Città della Salute e della Scienza, Turin, Italy., Bonanomi E; Papa Giovanni XXXIII Hospital, Bergamo, Italy., Astuto M; Policlinico University Hospital of Catania, Catania, Italy., Gregori D; Unit of Biostatistics, Epidemiology and Public Health, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy., Mondardini MC; S. Orsola-Malpighi IRCCS University Hospital, Bologna, Italy., Amigoni A; University Hospital of Padua, Padua, Italy - angela.amigoni@aaopd.veneto.it. |
| مؤلفون مشاركون: | OncoTIPnet Study Group |
| المصدر: | Minerva anestesiologica [Minerva Anestesiol] 2023 Oct; Vol. 89 (10), pp. 850-858. Date of Electronic Publication: 2023 Jun 28. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: [Edizioni Minerva Medica] Country of Publication: Italy NLM ID: 0375272 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1827-1596 (Electronic) Linking ISSN: 03759393 NLM ISO Abbreviation: Minerva Anestesiol Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Torino, [Edizioni Minerva Medica] |
| مواضيع طبية MeSH: | Neoplasms*/therapy , Terminal Care*, Child ; Humans ; Critical Illness/therapy ; Hospitalization ; Intensive Care Units, Pediatric |
| مستخلص: | Background: Pediatric patients affected by oncologic disease have a significant risk of clinical deterioration that requires admission to the intensive care unit. This study reported the results of a national survey describing the characteristics of Italian onco-hematological units (OHUs) and pediatric intensive care units (PICUs) that admit pediatric patients, focusing on the high-complexity treatments available before PICU admission, and evaluating the approach to the end-of-life (EOL) when cared in a PICU setting. Methods: A web-based electronic survey has been performed in April 2021, involving all Italian PICUs admitting pediatric patients with cancer participating in the study. Results: Eighteen PICUs participated, with a median number of admissions per year of 350 (IQR 248-495). Availability of Extracorporeal Membrane Oxygenation therapy and the presence of intermediate care unit are the only statistically different characteristics between large or small PICUs. Different high-level treatments and protocols are performed in OHUs, non depending on the volume of PICU. Palliative sedation is mainly performed in the OHUs (78%), however, in 72% it is also performed in the PICU. In most centers protocols that address EOL comfort care and treatment algorithms are missing, non depending on PICU or OHU volume. Conclusions: A non-homogeneous availability of high-level treatments and in OHUs is described. Moreover, protocols addressing EOL comfort care and treatment algorithms in palliative care are lacking in many centers. |
| التعليقات: | Comment in: Minerva Anestesiol. 2023 Oct;89(10):848-849. (PMID: 37272276) |
| فهرسة مساهمة: | Investigator: E Barisone; F Bellia; T Belotti; V Biassoni; C Birolo; G Bottari; A Brugiolo; F Carra; S Cesaro; P Coccia; M Corno; L D'Amato; P D'Angelo; N Giudici; D Guardo; F Izzo; G Maiolo; I Mascillini; A Mastronuzzi; P Merli; A Pettenazzo; M Pillon; S Pizzi; M Polini; F Porta; M Provenzi; L Quaglietta; I Rulli; F Savron; R Scalisi; S Spaggiari; G Tardini; G Vigna; L Vatiero; G Zirilli |
| تواريخ الأحداث: | Date Created: 20230628 Date Completed: 20231023 Latest Revision: 20231027 |
| رمز التحديث: | 20240829 |
| DOI: | 10.23736/S0375-9393.23.17329-9 |
| PMID: | 37378625 |
| قاعدة البيانات: | MEDLINE |
| تدمد: | 1827-1596 |
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| DOI: | 10.23736/S0375-9393.23.17329-9 |