Journal article

Discussing withholding and withdrawing of life-sustaining medical treatment in paediatric inpatients: audit of current practice.

Zornitza Stark, Jenny Hynson, Mike Forrester

J Paediatr Child Health | Published : 2008

Abstract

AIM: To understand the circumstances of inpatient deaths at a tertiary paediatric hospital and current practices regarding the timing and documentation of discussions concerning the withholding and withdrawing of life-sustaining medical treatment (WWLSMT). METHODS: Retrospective review of the medical records of 50 consecutive inpatient deaths. RESULTS: In total, 84% of inpatient deaths occurred in an intensive care setting. In all, 74% of patients had an underlying life-limiting or life-threatening condition and death was documented as having been expected in the short term in 88% of patients. Life-sustaining treatment was either withdrawn or limited prior to death in 84% of cases. There was..

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