RT Journal Article
T1 [Modes of dying of children in Intensive Care Units in Spain: MOMUCIP study].
T2 Modos de fallecimiento de los niños en Cuidados Intensivos en España. Estudio MOMUCIP (modos de muerte en UCIP).
A1 Agra Tuñas, María Carmen
A1 grupo de trabajo MOMUCIP RETROSPECTIVO, 
A1 Los miembros del grupo de trabajo de MOMUCIP RETROSPECTIVO, 
K1 Adecuación del esfuerzo terapéutico
K1 Adequate therapeutic effort
K1 Children
K1 Cuidados intensivos
K1 Death
K1 Donación
K1 Ethics
K1 Intensive care
K1 Limitación de tratamientos de soporte vital
K1 Limitación del esfuerzo terapéutico
K1 Limitation of life-support treatments
K1 Limitation of therapeutic effort
K1 Muerte
K1 Necropsia
K1 Necropsy
K1 Niños
K1 Organ donation
K1 Organ transplantation
K1 Trasplante
K1 Ética
AB To describe the different types of child deaths in Paediatric Intensive Care Units (PICU) in Spain, and to analyse the characteristics of those dying from a limitation of therapeutic efforts (LET). A multicentre retrospective study by conducted by reviewing the hospital discharge reports corresponding to deceased patients in 8 Spanish PICUs between 2011 and 2017. A total of 337 deaths were recorded, of which 151 (50'7%) occurred after a decision of LET, while 114 (33'8%) were due to an indicated, but failed, cardiopulmonary resuscitation, and 52 (15.4%) were due to brain death. The most common causes of hospital admission for those children that finally died were a heart-related problem (32.6%) or a respiratory problem (22.6%). A total of 86 cases (25.5%) had a previous hospital admission, with 253 cases (75%) suffering from some type of chronical illness, and 78 (23%) had a serious disability at the time of the admission. LET cases were more frequent among these children and those suffering from cancer. The predominant LET type consisted in: not starting the CPR in the event of a cardiac arrest (45%), withdrawal of the respiratory support (31.6%), and withdrawal of vasoactive drugs (21.6%). At the present time, at least half of the children dying in a PICU in Spain die after a LET decision, which is more frequent in those patients with previous hospital admissions, with a serious incapacity, and chronic or oncological disease. Health professionals should be aware of this situation, and be prepared to share decisions with the families, and to offer children at the end of their life the best possible caring quality.
YR 2019
FD 2019-02-23
LK http://hdl.handle.net/10668/13626
UL http://hdl.handle.net/10668/13626
LA es
DS RISalud
RD Apr 5, 2025