We use cookies to ensure that we give you the best experience on our website Learn more

Oct 9, 2018

7th Congress of the European Academy of Paediatric Societies

A RETROSPECTIVE STUDY OF CAUSES AND END-OF-LIFE-CARE IN NEONATAL DEATHS IN AN IRISH TERTIARY PAEDIATRIC HOSPITAL

;

neonatology

end of life care

congenital abnormalities

palliative care

neonatal deaths

Abstract

Abstract

thumbnail

Keywords

neonatology

end of life care

congenital abnormalities

palliative care

neonatal deaths

Abstract

BACKGROUND: Congenital abnormalities are the most common cause of neonatal death in Ireland, with considerably lower rates in Europe1,2. Certain congenital abnormalities are often removed from studies investigating perinatal and neonatal mortality to facilitate comparison3. However, they remain a reality in Ireland1. End-of-Life-Care (EOLC) aims to provide an interdepartmental service encompassing shared decision-making1,4,5. Provision of EOLC remains low, with increasing demand in neonatology6,7. This research reviewed neonatal deaths and palliative care involvement.   METHODS: A retrospective study was conducted in a 324-bed Irish paediatric hospital, reviewing 251 paediatric deaths from 2015-2016. Inclusion criteria were paediatric deaths under 28 days, and those over 28 days whose primary team were Neonatology; 68 deaths were included. Demographics, diagnoses by ICD-10 classification, cause and place of death, EOLC and Palliative-Care referrals were reviewed. FINDINGS: ‘Congenital malformations, deformations and chromosomal abnormalities’ accounted for 85% of deaths and 7% were related to ‘Certain conditions originating in the perinatal period’. 76% of deaths occurred in the tertiary hospital and 15% were transferred for death at home. Palliative care referrals were made in only 22% of cases and 67% of these died at home. The main reasons included EOLC, Symptom Control and Psychosocial support. CONCLUSIONS: A funded and staffed integrated care-model would allow the provision of appropriate palliative services in Irish hospitals. This is particularly pertinent considering Ireland’s high rate of congenital abnormalities. Involvement of palliative care teams, from an early stage, has a positive impact in EOLC of neonates, and should be encouraged through referrals to palliative care.

Discover over 20,000 new abstracts, posters and presentations from leading academic conferences every month. Stay on top of the latest findings, methodologies and discussions happening in your research field around the world.

Company

Legal

Follow us

© Copyright 2019 Morressier GmbH. All rights reserved.

© Copyright 2019 Morressier GmbH.
All rights reserved.