ArticleThe American journal of hospice & palliative care2018
When and Why Do Neonatal and Pediatric Critical Care Physicians Consult Palliative Care?
Article in The American journal of hospice & palliative care, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
14 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.
- The elements of end-of-life care provision in paediatric intensive care units: a systematic integrative review.BMC palliative care · 2024Pooled it
- Ethical dilemmas and intervention strategies in doctor-patient-family communication in end-of-life pediatric oncology: a narrative review.Translational pediatrics · 2026Review
- Impact of palliative care consultation on neonatal end-of-life care utilization.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Impact of a shared pediatric palliative care program on end-of-life care trends among children: a 10-year retrospective study in Taiwan.BMC palliative care · 2026Article
- Barriers and facilitators influencing referral and access to palliative care for children and young people with life-limiting and life-threatening conditions: a scoping review of the evidence.Palliative medicine · 2024Article
- Parents' Experiences Caring for a Child after a Critical Illness: A Qualitative Study.Journal of pediatric intensive care · 2024Article
- Perceived potentially inappropriate treatment in the PICU: frequency, contributing factors and the distress it triggers.Frontiers in pediatrics · 2024Article
- Timing of Pediatric Palliative Care Consults in Hospitalized Patients with Heart Disease.Journal of pediatric intensive care · 2023Article
- Development of the Simplified Chinese version of neonatal palliative care attitude scale.Frontiers in pediatrics · 2022Article
- Prevalence of specialised palliative care consultation for eligible children within a paediatric cardiac ICU.Cardiology in the young · 2021Article
- Parent experience of caring for neonates with seizures.Archives of disease in childhood. Fetal and neonatal edition · 2020Observational
- Assessment of Healthcare Professionals' Self-Perceived Competence in Perinatal/Neonatal Palliative Care After a 3-Day Training Course.Frontiers in pediatrics · 2020Article
- Article
- Inpatient Pediatric Palliative Care Consult Requests and Recommendations.Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & PractitionersArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
backgroundParents of children admitted to neonatal and pediatric intensive care units (ICUs) are at increased risk of experiencing acute and post-traumatic stress disorder. The integration of palliative care may improve child and family outcomes, yet there remains a lack of information about indicators for specialty-level palliative care involvement in this setting.
objectiveTo describe neonatal and pediatric critical care physician perspectives on indicators for when and why to involve palliative care consultants.
methodsSemistructured interviews were conducted with 22 attending physicians from neonatal, pediatric, and cardiothoracic ICUs in a single quaternary care pediatric hospital. Transcribed interviews were analyzed using content and thematic analyses.
resultsWe identified 2 themes related to the indicators for involving palliative care consultants: (1) palliative care expertise including support and bridging communication and (2) organizational factors influencing communication including competing priorities and fragmentation of care.
conclusionsPalliative care was most beneficial for families at risk of experiencing communication problems that resulted from organizational factors, including those with long lengths of stay and medical complexity. The ability of palliative care consultants to bridge communication was limited by some of these same organizational factors. Physicians valued the involvement of palliative care consultants when they improved efficiency and promoted harmony. Given the increasing number of children with complex chronic conditions, it is important to support the capacity of ICU clinical teams to provide primary palliative care. We suggest comprehensive system changes and critical care physician training to include topics related to chronic illness and disability.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.