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Place of death among children from 0 to 17 years of age: A population-based study from Sweden
Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden.
Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden.
Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden.
Univ Gothenburg, Sweden; Sahlgrens Univ Hosp, Sweden.
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2024 (English)In: Acta Paediatrica, ISSN 0803-5253, E-ISSN 1651-2227, Vol. 113, no 9, p. 2155-2163Article in journal (Refereed) Published
Abstract [en]

AimThe aim of this study is to contribute to the development of paediatric palliative care by investigating, on a population basis, where children in Sweden died, from 2013 to 2019. A particular focus was on comparing two groups: children who died during their first year of life with children who died at 1-17 years of age.MethodsWe hypothesised that there might be variations in place of death between the defined groups. Utilising national registry data, descriptive statistics were used to assess the distribution and variations in the place of death. Logistic regression analyses were conducted to ascertain the impact of associated factors.ResultsMost children died in hospitals (74.7%). The hypothesis postulating divergences in the place of death between age groups was not substantiated. Sex and birthplace showed no significant differences in home deaths. Deaths due to malignancies had a relatively high likelihood of occurring at home (39.0%). For perinatal diagnoses, the incidence of home deaths was relatively low (1.5%).ConclusionChildren who received support from a specialist palliative service in their own homes were notably less likely to die in a hospital setting compared to those who did not receive such support. An unplanned hospital visit increased the likelihood of hospital death.

Place, publisher, year, edition, pages
WILEY , 2024. Vol. 113, no 9, p. 2155-2163
Keywords [en]
end-of-life; home care; paediatrics; palliativemedicine
National Category
Public Health, Global Health and Social Medicine
Identifiers
URN: urn:nbn:se:liu:diva-204305DOI: 10.1111/apa.17308ISI: 001235714400001PubMedID: 38819101OAI: oai:DiVA.org:liu-204305DiVA, id: diva2:1867566
Note

Funding Agencies|Swedish Government and the County Councils

Available from: 2024-06-10 Created: 2024-06-10 Last updated: 2025-02-20Bibliographically approved

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Stenmarker, Margaretha

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Division of Surgery, Orthopedics and OncologyFaculty of Medicine and Health Sciences
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