Outcomes following perinatal palliative care consultation: a retrospective review
| Autor: | Megan H. Tucker, Jennifer Linebarger, Kelstan Ellis |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Palliative care Discharge home Pact 03 medical and health sciences 0302 clinical medicine Pregnancy 030225 pediatrics Chart review medicine Humans cardiovascular diseases 030212 general & internal medicine Comfort care Child Referral and Consultation Retrospective Studies Retrospective review business.industry Palliative Care Infant Newborn Obstetrics and Gynecology Infant Fetal health Patient Discharge Clinical Practice Perinatal Care Family medicine Pediatrics Perinatology and Child Health Female business |
| Zdroj: | Journal of perinatology : official journal of the California Perinatal Association. 41(9) |
| ISSN: | 1476-5543 |
| Popis: | OBJECTIVE To inform clinical practice by describing a model of perinatal palliative care delivery within a fully staffed fetal health center (FHC) inside a freestanding children's hospital. STUDY DESIGN The team conducted a retrospective chart review of the palliative care team (PaCT) database from FHC's inception in 2010 to 31 December, 2018, and surveyed the FHC neonatologists. RESULTS PaCT consults in the FHC increased from 1 in 2010 to 102 in 2018. PaCT met 430 mothers for prenatal consultation. Of the 390 live-born infants, 172 died; 48 received comfort care only from birth; and 19 survived to discharge home with hospice. At the time of review, PaCT still follows 109 children met prenatally. PaCT discharged 96 patients that no longer required PaCT services. CONCLUSIONS PaCT provides an integral service within the FHC as evidenced by the increasing volume of consultations, variety of care provided and perceived value by FHC neonatologists. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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