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Factors Influencing Do-Not-Resuscitate Status in Children During Last Month of Life: Single Institution Experience.
- Source :
-
Journal of pediatric hematology/oncology [J Pediatr Hematol Oncol] 2019 May; Vol. 41 (4), pp. e201-e205. - Publication Year :
- 2019
-
Abstract
- Background: It is currently expected that about 20% of children with cancer will ultimately die. Writing advanced life directives sufficiently long before the actual death of a child ensues allows both parents and medical staff to develop optimal treatment plans in the best interests of the child.<br />Aim of the Study: The aim of the study was to evaluate factors that may influence the process of decision-making regarding Do-Not-Resuscitate (DNR) status.<br />Methods: Retrospective single institution study.<br />Results: Totally, 79 patients died between September 01, 2011 and August 31, 2017. Median age of the children was 10.5 years (range, 1 to 24 y). Forty-five were males. There were 37 Muslims, 27 Jews, 9 Druze, and 6 Christians. Twenty-one patients had sarcomas, 20 had CNS tumors, 10 had neuroblastoma, 17 had leukemias/lymphomas, 11 had carcinomas, and other rare tumors as well as nonmalignant diseases. No statistically significant association between all evaluated factors and DNR order status was found.<br />Conclusions: It is possible that, other than demographic, clinical-associated, or therapy-associated factors play an important role in the process of decision-making regarding DNR. We feel that sincere communication between parents, their child (when appropriate) and medical and psychosocial staff may have a more crucial role when such decisions have to be made.
Details
- Language :
- English
- ISSN :
- 1536-3678
- Volume :
- 41
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of pediatric hematology/oncology
- Publication Type :
- Academic Journal
- Accession number :
- 30499908
- Full Text :
- https://doi.org/10.1097/MPH.0000000000001360