Evidence map›Paper›PMID 32329256›Full record

ArticleJournal of Korean medical science2020

End-of-Life Care of Hospitalized Children with Advanced Heart Disease.

Joowon Lee, Gi Beom Kim, Mi Kyoung Song, Sang Yun Lee, Min Sun Kim, Eun Jung Bae

Open access · goldAbstract read
In one paragraph

Article in Journal of Korean medical science, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 40% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 5 citations in OpenAlex.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Joowon LeeDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5089-6093
Gi Beom KimDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University School of Medicine, Seoul, Korea. ped9526@snu.ac.kr.ORCID https://orcid.org/0000-0002-7880-280X
Mi Kyoung SongDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-0529-869X
Sang Yun LeeDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0002-3071-2661
Min Sun KimDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0001-5323-9857
Eun Jung BaeDepartment of Pediatrics, Seoul National University Children's Hospital, Seoul National University School of Medicine, Seoul, Korea.ORCID https://orcid.org/0000-0003-2134-151X
Seoul National University Children's Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite improvements in palliative care for critically ill children, the characteristics of end-of-life care for pediatric patients with advanced heart disease are not well-known. We investigated these characteristics among hospitalized children with advanced heart disease in a tertiary referral center in Korea.

methodsWe retrospectively reviewed the records of 136 patients with advanced heart disease who died in our pediatric department from January 2006 through December 2013.

resultsThe median age of patients at death was 10.0 months (range 1 day-28.3 years). The median duration of the final hospitalization was 16.5 days (range 1-690 days). Most patients (94.1%) died in the intensive care unit and had received mechanical ventilation (89.7%) and inotropic agents (91.2%) within 24 hours of death. The parents of 74 patients (54.4%) had an end-of-life care discussion with their physician, and the length of stay of these patients in the intensive care unit and in hospital was longer. Of the 90 patients who had been hospitalized for 7 days or more, the parents of 54 patients (60%) had a documented end-of-life care discussion. The time interval from the end-of-life care discussion to death was 3 days or less for 25 patients.

conclusionChildren dying of advanced heart disease receive intensive treatment at the end of life. Discussions regarding end-of-life issues are often postponed until immediately prior to death. A pediatric palliative care program must be implemented to improve the quality of death in pediatric patients with heart disease.

Indexed as

Terminal CareAdolescentChildChild, PreschoolFemaleHeart DiseasesHumansInfantIntensive Care UnitsLength of StayMalePalliative CareParentsRespiration, ArtificialRetrospective StudiesSeverity of Illness IndexChildHeart DiseasesPalliative CarePalliative MedicineTerminal Care

Identifiers

PMID32329256
PMCPMC7183846
OpenAlexW3010554632

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

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.