Advanced search
2 files | 1.39 MB Add to list

Population-level analysis of appropriateness of end-of-life care for children with neurological conditions

(2023) JOURNAL OF PEDIATRICS. 255. p.128-136.e8
Author
Organization
Abstract
Objective The objective of this study was to measure the appropriateness of end-of-life care for children who died with neurologic conditions. Study design Based on linked routinely collected databases, we conducted a population-level decedent retrospective cohort study of children with neurologic conditions who died in Belgium between 2010 and 2017. We measured a set of 22 face-validated quality indicators. The set concerns 12 indicators of potentially appropriate end-of-life care (eg, specialized comfort medication, physician contact, continuous care) and 10 indicators of potentially inappropriate end-of-life care (eg, diagnostic tests, phlebotomy). We performed ANOVA for predictors (age, sex, disease category, nationality, having siblings, year of death) for scales of appropriate and inappropriate care. Results Between 2010 and 2017, 139 children with neurologic conditions died in Belgium. For potentially appropriate care, in the last 30 days, 76% of children received clinical care, 55% had continuous care relationships, 17% had contact with a general physician, 8% of children received specialized comfort medication, and 14% received care from a palliative care team. For potentially inappropriate care, in the last 14 days, 45% had blood drawn and 27% were admitted to intensive care unit. Conclusions Our study found indications of appropriate as well as inappropriate end-of-life care for children who died with neurologic conditions. These findings reveal a substantial margin for potential quality improvement, in regard to palliative care provision, multidisciplinary care, financial support, specialized comfort medication, clinical follow-up, general physician contact, diagnostics, and blood drawing.
Keywords
Pediatrics, Perinatology and Child Health

Downloads

  • 2022 PietteV JPediatr.pdf
    • full text (Accepted manuscript)
    • |
    • open access
    • |
    • PDF
    • |
    • 644.45 KB
  • (...).pdf
    • full text (Published version)
    • |
    • UGent only
    • |
    • PDF
    • |
    • 750.37 KB

Citation

Please use this url to cite or link to this publication:

MLA
Piette, Veerle, et al. “Population-Level Analysis of Appropriateness of End-of-Life Care for Children with Neurological Conditions.” JOURNAL OF PEDIATRICS, vol. 255, 2023, pp. 128-136.e8, doi:10.1016/j.jpeds.2022.10.037.
APA
Piette, V., Smets, T., Deliens, L., van Berlaer, G., Beernaert, K., & Cohen, J. (2023). Population-level analysis of appropriateness of end-of-life care for children with neurological conditions. JOURNAL OF PEDIATRICS, 255, 128-136.e8. https://doi.org/10.1016/j.jpeds.2022.10.037
Chicago author-date
Piette, Veerle, Tinne Smets, Luc Deliens, Gerlant van Berlaer, Kim Beernaert, and Joachim Cohen. 2023. “Population-Level Analysis of Appropriateness of End-of-Life Care for Children with Neurological Conditions.” JOURNAL OF PEDIATRICS 255: 128-136.e8. https://doi.org/10.1016/j.jpeds.2022.10.037.
Chicago author-date (all authors)
Piette, Veerle, Tinne Smets, Luc Deliens, Gerlant van Berlaer, Kim Beernaert, and Joachim Cohen. 2023. “Population-Level Analysis of Appropriateness of End-of-Life Care for Children with Neurological Conditions.” JOURNAL OF PEDIATRICS 255: 128-136.e8. doi:10.1016/j.jpeds.2022.10.037.
Vancouver
1.
Piette V, Smets T, Deliens L, van Berlaer G, Beernaert K, Cohen J. Population-level analysis of appropriateness of end-of-life care for children with neurological conditions. JOURNAL OF PEDIATRICS. 2023;255:128-136.e8.
IEEE
[1]
V. Piette, T. Smets, L. Deliens, G. van Berlaer, K. Beernaert, and J. Cohen, “Population-level analysis of appropriateness of end-of-life care for children with neurological conditions,” JOURNAL OF PEDIATRICS, vol. 255, pp. 128-136.e8, 2023.
@article{01GJZ7RW6Z42Y1KD5DHMGJRNKD,
  abstract     = {{Objective The objective of this study was to measure the appropriateness of end-of-life care for children who died with neurologic conditions.

Study design Based on linked routinely collected databases, we conducted a population-level decedent retrospective cohort study of children with neurologic conditions who died in Belgium between 2010 and 2017. We measured a set of 22 face-validated quality indicators. The set concerns 12 indicators of potentially appropriate end-of-life care (eg, specialized comfort medication, physician contact, continuous care) and 10 indicators of potentially inappropriate end-of-life care (eg, diagnostic tests, phlebotomy). We performed ANOVA for predictors (age, sex, disease category, nationality, having siblings, year of death) for scales of appropriate and inappropriate care.

Results Between 2010 and 2017, 139 children with neurologic conditions died in Belgium. For potentially appropriate care, in the last 30 days, 76% of children received clinical care, 55% had continuous care relationships, 17% had contact with a general physician, 8% of children received specialized comfort medication, and 14% received care from a palliative care team. For potentially inappropriate care, in the last 14 days, 45% had blood drawn and 27% were admitted to intensive care unit.

Conclusions Our study found indications of appropriate as well as inappropriate end-of-life care for children who died with neurologic conditions. These findings reveal a substantial margin for potential quality improvement, in regard to palliative care provision, multidisciplinary care, financial support, specialized comfort medication, clinical follow-up, general physician contact, diagnostics, and blood drawing.}},
  author       = {{Piette, Veerle and Smets, Tinne and Deliens, Luc and van Berlaer, Gerlant and Beernaert, Kim and Cohen, Joachim}},
  issn         = {{0022-3476}},
  journal      = {{JOURNAL OF PEDIATRICS}},
  keywords     = {{Pediatrics, Perinatology and Child Health}},
  language     = {{eng}},
  pages        = {{128--136.e8}},
  title        = {{Population-level analysis of appropriateness of end-of-life care for children with neurological conditions}},
  url          = {{http://doi.org/10.1016/j.jpeds.2022.10.037}},
  volume       = {{255}},
  year         = {{2023}},
}

Altmetric
View in Altmetric
Web of Science
Times cited: