Evidence map›Paper›PMID 39980493›Full record

ArticlePediatric quality & safety

Increasing Pediatric Palliative Care Consultation for Patients with Heart Disease and Prolonged Cardiac Intensive Care Stay.

Andrew Headrick, Sarah Wawrzynski, Judson Moore, Melissa Winder, Jasmine R Masih, Michele De Leon Jauregui, Brian Flaherty, Benjamin Moresco, Morgan M Millar, Rachel R Codden and 2 more

Abstract read
In one paragraph

Article in Pediatric quality & safety. 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
–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

1 citing paper in PubMed.

  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

12 authors.

Andrew HeadrickFrom the Department of Pediatrics, Division of Cardiology, University of Utah at Primary Children's Hospital, Salt Lake City, Utah.
Sarah WawrzynskiCenter for Healthcare Delivery Science, Nemours Children's Health, Wilmington, De.
Judson MooreFrom the Department of Pediatrics, Division of Cardiology, University of Utah at Primary Children's Hospital, Salt Lake City, Utah.
Melissa WinderFrom the Department of Pediatrics, Division of Cardiology, University of Utah at Primary Children's Hospital, Salt Lake City, Utah.
Jasmine R MasihDivision of Pediatric Palliative Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
Michele De Leon JaureguiDivision of Pediatric Critical Care Medicine, University of Utah, Salt Lake City, Utah.
Brian FlahertyDivision of Pediatric Critical Care Medicine, University of Utah, Salt Lake City, Utah.
Benjamin MorescoDivision of Pediatric Palliative Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
Morgan M MillarDivision of Epidemiology, University of Utah, Salt Lake City, Utah.
Rachel R CoddenDivision of Epidemiology, University of Utah, Salt Lake City, Utah.
Dominic MooreDivision of Pediatric Palliative Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.
Claudia Delgado-CorcoranDivision of Pediatric Palliative Care, Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah.

Funding

CTSA UM1 Program at University of UtahUM1TR004409 · NCATS · UTAH STATE HIGHER EDUCATION SYSTEM--UNIVERSITY OF UTAH · PI RACHEL HESS, Jennifer Juhl Majersik · 2023 to 2026
$21.9M
NCATS NIH HHS UM1 TR004409
6 · The paper itself

Abstract

Introduction: Patients with congenital heart disease are medically complex and experience high rates of morbidity and mortality. Pediatric palliative care (PPC) supports families navigating complex medical scenarios. This study evaluates the effect of quality improvement (QI) interventions towards increasing PPC consultations in patients with heart disease and cardiac intensive care unit (CICU) length of stay (LOS) ≥ 14 days. Methods: We conducted a mixed methods QI study using CICU team members and family survey assessments of PPC involvement. Patients with CICU LOS ≥14 days were eligible and comprised our study cohort. Interventions included the implementation of a digital prompt screening for eligible patients sent to CICU and PPC providers, as well as the implementation of weekly huddles to discuss consulted and eligible patients. Through the pre- and postintervention phases, family members of consulted patients and CICU team members were surveyed. Results: Preintervention (January 2020 to December 2021), PPC consultation rates were 35% (n = 34) and increased to 63% (n = 43) postintervention (January 2022 to February 2023) ( Conclusions: QI interventions, including collaborative huddles and digital prompts based on discrete screening criteria, lead to significantly increased rates of PPC consultation in patients with heart disease in the CICU. Survey results support PPC consultation as a positive contribution for families and CICU team members.

Identifiers

PMID39980493
PMCPMC11838152

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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.