Palliative Care Across the Life Span for Children With Heart Disease: A Scientific Statement From the American Heart Association. Issue 2 (12th January 2023)

• Record Type: Journal Article
• Authors: Blume, Elizabeth D.; Kirsch, Roxanne; Cousino, Melissa K.; Walter, Jennifer K.; Steiner, Jill M.; Miller, Thomas A.; Machado, Desiree; Peyton, Christine; Bacha, Emile; Morell, Emily
• Is Part Of: Circulation. Volume 16:Issue 2(2023)
• Page Start: e000114
• Publication Date: 2023-01-12
• Subjects: AHA Scientific Statements -- cardiology -- congenital heart disease -- heart diseases -- morbidity -- palliative care -- pediatric; Cardiovascular system -- Diseases -- Treatment -- Periodicals; Cardiovascular system -- Diseases -- Research -- Periodicals; Outcome assessment (Medical care) -- Periodicals; Evidence-based medicine -- Periodicals; 616.1007
• DOI: 10.1161/HCQ.0000000000000114
• Languages: English
• ISSNs: 1941-7713

Abstract

Abstract : Aim: This summary from the American Heart Association provides guidance for the provision of primary and subspecialty palliative care in pediatric congenital and acquired heart disease. Methods: A comprehensive literature search was conducted from January 2010 to December 2021. Seminal articles published before January 2010 were also included in the review. Human subject studies and systematic reviews published in English in PubMed, ClinicalTrials.gov, and the Cochrane Collaboration were included. Structure: Although survival for pediatric congenital and acquired heart disease has tremendously improved in recent decades, morbidity and mortality risks remain for a subset of young people with heart disease, necessitating a role for palliative care. This scientific statement provides an evidence-based approach to the provision of primary and specialty palliative care for children with heart disease. Primary and specialty palliative care specific to pediatric heart disease is defined, and triggers for palliative care are outlined. Palliative care training in pediatric cardiology; diversity, equity, and inclusion considerations; and future research directions are discussed.