Withdrawal of Life-Sustaining Treatment in Children Managed in Nine PICUs in the United States: A Secondary Analysis of the Death One Hour After Terminal Extubation (DONATE) Dataset, 2009–2021
The 2009-2021 DONATE dataset shows substantial institutional and temporal variability in WLST practices across our nine collaborating PICUs in the United States. Future studies should focus on understanding the drivers of variability to improve the consistency and quality of end-of-life management.
Authors
- Sareen Shah (ORCID: https://orcid.org/0000-0002-0510-9326)
- Harsha Chandnani
- Michael Avesar
- Melissa Aczon (ORCID: https://orcid.org/0000-0003-3922-4733)
- Michael C. McCrory (ORCID: https://orcid.org/0000-0001-5880-750X)
- Sandeep Tripathi (ORCID: https://orcid.org/0000-0001-6494-1430)
- Charlene Pringle (ORCID: https://orcid.org/0000-0003-3345-7827)
- Eugene Laksana
- Katie R. Hodge
- Stephanie Hsu (ORCID: https://orcid.org/0000-0002-6003-3600)
- Meredith C. Winter (ORCID: https://orcid.org/0000-0001-5905-5223)
- Jui Shah
- Kimberly Burkiewicz
- Nina Fainberg
- Wynne Morrison (ORCID: https://orcid.org/0000-0001-8444-970X)
- Randall C. Wetzel (ORCID: https://orcid.org/0000-0002-3950-5976)
- Patrick A. Ross (ORCID: https://orcid.org/0000-0002-2748-555X)
- Linda Siegel
Institutions
- University of Southern California (US)
- Cedars-Sinai Medical Center (US)
- Lurie Children's Hospital (US)
- Children's Hospital of Philadelphia (US)
- Children's Hospital of Los Angeles (US)
- UCLA Medical Center (US)
- University of Florida (US)
- Virtual High School (US)
- Cohen Children's Medical Center (US)
- Children's Hospital of Illinois (US)
- Children's Healthcare of Atlanta (US)
- Harbor–UCLA Medical Center (US)
- Loma Linda University Children's Hospital (US)
- Wake Forest University (US)
- The University of Texas Southwestern Medical Center (US)
Publication Details
- Journal
- Pediatric Critical Care Medicine
- Published
- 2025-12-17
- DOI
- https://doi.org/10.1097/pcc.0000000000003879
- Primary Topic
- Ethics and Legal Issues in Pediatric Healthcare
- Type
- article
- Field-Weighted Citation Impact
- 0.00