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Italian pediatric intensive care units admitting critically ill cancer children: results from a national survey

Minerva Anestesiologica, ISSN: 1827-1596, Vol: 89, Issue: 10, Page: 850-858
2023
  • 2
    Citations
  • 0
    Usage
  • 15
    Captures
  • 0
    Mentions
  • 0
    Social Media
Metric Options:   Counts1 Year3 Year

Metrics Details

  • Citations
    2
    • Citation Indexes
      2
  • Captures
    15

Article Description

BACKGROUND: Pediatric patients affected by oncologic disease have a significant risk of clinical deterioration that requires admission to the intensive care unit. This study reported the results of a national survey describing the characteristics of Italian onco-hematological units (OHUs) and pediatric intensive care units (PICUs) that admit pediatric patients, focusing on the high-complexity treatments available before PICU admission, and evaluating the approach to the end-of-life (EOL) when cared in a PICU setting. METHODS: A web-based electronic survey has been performed in April 2021, involving all Italian PICUs admitting pediatric patients with cancer participating in the study. RESULTS: Eighteen PICUs participated, with a median number of admissions per year of 350 (IQR 248-495). Availability of Extracorporeal Membrane Oxygenation therapy and the presence of intermediate care unit are the only statistically different characteristics between large or small PICUs. Different high-level treatments and protocols are performed in OHUs, non depending on the volume of PICU. Palliative sedation is mainly performed in the OHUs (78%), however, in 72% it is also performed in the PICU. In most centers protocols that address EOL comfort care and treatment algorithms are missing, non depending on PICU or OHU volume. CONCLUSIONS: A non-homogeneous availability of high-level treatments and in OHUs is described. Moreover, protocols addressing EOL comfort care and treatment algorithms in palliative care are lacking in many centers.

Bibliographic Details

Matteo Martinato; Rosanna I. Comoretto; Dario Gregori; Paolo Biban; Elisa Zanonato; Alessandro Simonini; Alessia Montaguti; Eloisa Gitto; Fabio Caramelli; Maria C. Mondardini; Stefania Ferrario; Raffaella Sagredini; Nicola Alaimo; Geremia Zito Marinosci; Emanuele Rossetti; Corrado Cecchetti; Manuela L’Erario; Beatrice Vasile; Giorgio Ivani; Ezio Bonanomi; Marinella Astuto; Angela Amigoni; Elena Barisone; Francesco Bellia; Tamara Belotti; Veronica Biassoni; Carolina Birolo; Gabriella Bottari; Alessandra Brugiolo; Federica Carra; Simone Cesaro; Paola Coccia; Manuela Corno; Luigia D’Amato; Paolo D’Angelo; Nagua Giudici; Daniela Guardo; Francesca Izzo; Giorgia Maiolo; Ilaria Mascillini; Angela Mastronuzzi; Pietro Merli; Andrea Pettenazzo; Marta Pillon; Simone Pizzi; Monica Polini; Fulvio Porta; Massimo Provenzi; Lucia Quaglietta; Imma Rulli; Fabio Savron; Rita Scalisi; Stefania Spaggiari; Giacomo Tardini; Gianluca Vigna; Luisa Vatiero; Giuseppina Zirilli

Edizioni Minerva Medica

Medicine

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