Publications by authors named "Stephanie Bodily"
Objectives: Compare rates, clinical characteristics, and outcomes of paediatric palliative care consultation in children supported on extracorporeal membrane oxygenation admitted to a single-centre 16-bed cardiac or a 28-bed paediatric ICU.
Methods: Retrospective review of clinical characteristics and outcomes of children (aged 0-21 years) supported on extracorporeal membrane oxygenation between January, 2017 and December, 2019 compared by palliative care consultation.
Measurements And Results: One hundred children (N = 100) were supported with extracorporeal membrane oxygenation; 19% received a palliative care consult.
Pediatric palliative care (PPC) provides an extra layer of support for families caring for a child with complex heart disease as these patients often experience lifelong morbidities with frequent hospitalizations and risk of early mortality. PPC referral at the time of heart disease diagnosis provides early involvement in the disease trajectory, allowing PPC teams to longitudinally support patients and families with symptom management, complex medical decision-making, and advanced care planning. We analyzed 113 hospitalized pediatric patients with a primary diagnosis of heart disease and a PPC consult to identify timing of first PPC consultation in relation to diagnosis, complex chronic conditions (CCC), and death.
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- The study aimed to evaluate the use of palliative care consultations for children in a cardiac ICU by comparing those who received consultations to those who were eligible but did not.
- Data from medical records of 288 children admitted between January 2014 and June 2017 showed that only 17% received palliative care consultations, with those who did experiencing longer ICU stays, more complex conditions, and higher mortality rates.
- The findings suggest that more children could benefit from earlier palliative care involvement, and implementing screening criteria could help identify patients who need these services in the cardiac ICU.
Objectives: Describe pediatric palliative care consult in children with heart disease; retrospectively apply Center to Advance Palliative Care criteria for pediatric palliative care consults; determine the impact of pediatric palliative care on end of life.
Design: A retrospective single-center study.
Setting: A 16-bed cardiac ICU in a university-affiliated tertiary care children's hospital.
Introduction: Frequent blood testing increases risk of iatrogenic anemia, infection, and blood transfusion. This study describes 3 years of sustained blood testing reduction from a quality improvement (QI) initiative which began in 2011.
Methods: The cohort consisted of postop children whose surgery had a Risk Adjustment for Congenital Heart Surgery (RACHS) classification consecutively admitted to a tertiary Cardiac Intensive Care Unit.
Hemoglobin levels (Hgb) of infants with a single ventricle (SV) are traditionally maintained high to maximize oxygen-carrying capacity during stage 1 palliation (S1P), stage 2 palliation (S2P), and between stages (IS). A single-center observational cohort study was performed to determine if red blood cell transfusion during the convalescent phase of the S1P (late S1P transfusion) to achieve higher Hgb is associated with benefits during the IS including improved growth and decreased acute medical events. 137 infants <1 year with SV with SIP undergoing care from January 2008 to June 2015 were retrospectively evaluated.
View Article and Find Full Text PDFObjective: To determine whether judicious blood testing impacts timing or amount of packed RBC transfusions in infants after heart surgery.
Design: A retrospective study comparing before and after initiation of a quality improvement process.
Setting: A university-affiliated cardiac ICU at a tertiary care children's hospital.
Objectives: To safely optimize blood testing and costs for pediatric cardiac surgical patients without adversely impacting patient outcomes.
Design: This is a quality improvement cohort project with pre- and postintervention groups.
Setting: University-affiliated pediatric cardiac ICU in a tertiary care children's hospital.
Human rhinovirus (HRV), the most common cause of upper respiratory infection in children, can present as bronchiolitis, pneumonia, or asthma exacerbations. The impact of HRV in infants and toddlers with congenital heart disease is poorly defined. A case-control study was performed to compare the clinical course for 19 young children with respiratory symptoms who tested positive for rhinovirus after heart surgery with that of 56 matched control subjects.
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