Evidence map›Paper›PMID 35100794›Full record

ArticleAnaesthesiology intensive therapy2021

Guidelines regarding ineffective maintenance of organ functions (futile therapy) in paediatric intensive care units.

Alicja Bartkowska-Śniatkowska, Elżbieta Byrska-Maciejasz, Maciej Cettler, Maria Damps, Konrad Jarosz, Magdalena Mierzewska-Schmidt, Marek Migdał, Irena Ożóg-Zabolska, Andrzej Piotrowski, Marcin Rawicz and 3 more

Abstract read
In one paragraph

Article in Anaesthesiology intensive therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

9 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Guideline
  3. Article
  4. Article
  5. Article
  6. Futile therapy: a survey of Polish anaesthesiologists.Anaesthesiology intensive therapy · 2025
    Article
  7. Opinion of Polish doctors on the use of futile therapy.European journal of public health · 2025
    Article
  8. Article
  9. 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

13 authors.

Alicja Bartkowska-ŚniatkowskaDepartment of Paediatric Anaesthesiology and Intensive Therapy, Poznan University of Medical Sciences, Poznań, Poland.
Elżbieta Byrska-MaciejaszDepartment of Anaesthesiology and Intensive Therapy, University Children's Hospital of Cracow, Poland.
Maciej CettlerDepartment of Anaesthesiology and Intensive Therapy for Kids, Provincial Polyclinical Hospital in Toruń, Poland.
Maria DampsDepartment of Anaesthesiology and Intensive Care, Upper Silesian Child Health Centre, Faculty of Medical Sciences in Katowice, Medical University of Silesia, Poland.
Konrad JaroszDepartment of Clinical Nursing, Pomeranian Medical University, Szczecin, Poland.
Magdalena Mierzewska-SchmidtDepartment of Paediatric Anaesthesiology and Intensive Therapy, Medical University of Warsaw, Poland.
Marek MigdałChildren's Memorial Health Institute, Warsaw, Poland.
Irena Ożóg-ZabolskaDepartment of Paediatric Anaesthesiology and Intensive Therapy, COPERNICUS PL, Gdańsk, Poland.
Andrzej PiotrowskiDepartment of Neonatology, Medical University of Warsaw, Poland.
Marcin RawiczThe Warsaw Hospital for Sick Children, Warsaw, Poland.
Magdalena ŚwiderDepartment of Anaesthesiology and Critical Care Medicine, Clinical Provincial Hospital No. 2 in Rzeszów, Poland.
Mariola TałałajDepartment of Anaesthesiology and Intensive Care of Children and Adolescents with the Postoperative and Pain Management Department, Bialystok Medical University, Białystok, Poland.
Marzena ZielińskaDepartment of Paediatric Anaesthesiology and Intensive Care, Wroclaw Medical University, Wrocław, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Poland, guidelines for the management of ineffective treatment of children in neonatal and paediatric departments developed by the Polish Neonatal Society and the Polish Paediatric Society, have been published. The specific problems of futile therapy in paediatric anaesthesiology and intensive care units should be defined and solved separately. For this purpose, the guidelines presented below were prepared. They present the principles for managing children for whom therapeutic options available in paedia-tric anaesthesiology and intensive care units have been exhausted and ineffectiveness of maintaining organ functions, i.e. futile therapy, has been suspected. The decision to withdraw futile therapy of a child is undoubtedly one of the most difficult for both doctors and parents, and for this reason, it should be made collectively, respecting the dignity of the child and his/her parents or legal representatives, and continuing the management aimed at relieving the child's pain and suffering, as well as minimising anxiety and fear. Due to the small amount of reliable evidence-based data, the guidelines constitute the consensus of the Group of Experts and are dedicated to minor patients treated in paediatric anaesthesiology and intensive care units.

Indexed as

AnesthesiologyCritical CareChildConsensusFemaleHumansInfant, NewbornIntensive Care UnitsIntensive Care Units, PediatricMaleMedical Futilityfutile therapypaediatric intensive care unit.palliative care

Identifiers

PMID35100794
PMCPMC10172958

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.