Devenir des enfants quittant la réanimation après une décision de limitation ou d’arrêt des traitements. état des connaissances en France

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• 作者：R. Cremer (1) (2)
  A. Binoche (1)
  C. le Reun (1)
  P. Hubert (3)
  
• 关键词：Limitation des traitements ; Arrêt des traitements ; Handicap ; Réanimation pédiatrique ; éthique ; études de cohortes ; Qualité des soins ; Withholding treatments ; Withdrawing treatments ; Paediatric intensive care ; Disability ; Ethics ; Outcome assessment ; Health care quality
• 刊名：R篓娄animation
• 出版年：2014
• 出版时间：January 2014
• 年：2014
• 卷：23
• 期：2-supp
• 页码：409-413
• 全文大小：104 KB
• 作者单位：R. Cremer (1) (2)
  A. Binoche (1)
  C. le Reun (1)
  P. Hubert (3)
  
  1. Réanimation pédiatrique, h?pital Jeanne de Flandre, CHU de Lille, F-59037, Lille cedex, France
  2. Espace éthique hospitalier et universitaire de Lille, 1 place de Verdun, F-59045, Lille cedex, France
  3. Réanimation pédiatrique, h?pital Necker -Enfants malades, rue de Sèvres, F-75007, Paris, France
  
• ISSN：1951-6959

文摘

Children survival after a decision of treatment limitation (DTL) in the paediatric intensive care unit (PICU) is a recent concern. Our objectives were to present data on the outcome of children who survived despite DTL, and review how information about DTL is transmitted between PICUs and the teams in charge of the children after PICU discharge. Interestingly, more than 20% of the children survive despite DTL; however, all these children remain dependent on their parents for all activities of daily life. Half of them would be referred to PICU if presenting any severe illness. Additionally, despite significant progress in the transmission of information regarding DLT by PICUs, improvement is still expected to better involve the teams in charge after PICU discharge.