Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death.

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  • Additional Information
    • Affiliation:
      clinical professor, Florida International University and chief, Division of Critical Care Medicine, Nicklaus Children's Hospital, Miami, Florida.
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      Background The death of an infant or child has been described as the most stressful life event, but few reports exist on the effects on parents' physical health in the year after the death. Objective To examine acute illnesses, use of health services, and medication changes among parents from 3 racial/ethnic groups 1 to 13 months after the death of an infant or child in the neonatal intensive care unit or pediatric intensive care unit. Methods In a longitudinal study, 96 parents (41% black, 32% Hispanic, 27% white) of deceased infants or children were recruited from 4 children's hospitals and death records. Parents reported demographic information, acute illnesses, health services used, and medication changes 1 to 13 months after the death. Descriptive statistics and 1-way analysis of variance were used to analyze the data. Results Seventy mothers (age, mean [SD], 35.9 [7.13] years) and 26 fathers (age, 39.0 [7.37] years) participated; 56% of mothers and 42% of fathers had preexisting health problems before the death. Morbidity was greatest in the first 6 months, was relatively quiescent in months 7 through 10, and increased in months 11 through 13. Mothers reported 363 acute illnesses, 16 hospitalizations, and 124 medication changes. Morbidity rates and medication changes for fathers followed similar patterns but with lower frequency. Conclusion After the death of an infant or child, interventions for parents, especially parents with chronic health problems, are best targeted on illness prevention and mental health in months 1 to 6 and 11 to 13 following the death.
    • Journal Subset:
      Blind Peer Reviewed; Core Nursing; Expert Peer Reviewed; Nursing; Peer Reviewed; USA
    • ISSN:
      1062-3264
    • MEDLINE Info:
      NLM UID: 9211547
    • Grant Information:
      The study was funded by the National Institute of Nursing Research, NIH.
    • Publication Date:
      20190504
    • Publication Date:
      20190627
    • DOI:
      http://dx.doi.org/10.4037/ajcc2019572
    • Accession Number:
      136184554
  • Citations
    • ABNT:
      BROOTEN, D. et al. Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death. American Journal of Critical Care, [s. l.], v. 28, n. 3, p. 193–201, 2019. DOI 10.4037/ajcc2019572. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=136184554. Acesso em: 2 jul. 2020.
    • AMA:
      Brooten D, Youngblut JM, Roche RM, et al. Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death. American Journal of Critical Care. 2019;28(3):193-201. doi:10.4037/ajcc2019572.
    • AMA11:
      Brooten D, Youngblut JM, Roche RM, et al. Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death. American Journal of Critical Care. 2019;28(3):193-201. doi:10.4037/ajcc2019572
    • APA:
      Brooten, D., Youngblut, J. M., Roche, R. M., Caicedo, C., Del-Moral, T., Cantwell, G. P., & Totapally, B. R. (2019). Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death. American Journal of Critical Care, 28(3), 193–201. https://doi.org/10.4037/ajcc2019572
    • Chicago/Turabian: Author-Date:
      Brooten, Dorothy, JoAnne M. Youngblut, Rosa M. Roche, Carmen Caicedo, Teresa Del-Moral, G. Patricia Cantwell, and Balagangadhar R. Totapally. 2019. “Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death.” American Journal of Critical Care 28 (3): 193–201. doi:10.4037/ajcc2019572.
    • Harvard:
      Brooten, D. et al. (2019) ‘Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death’, American Journal of Critical Care, 28(3), pp. 193–201. doi: 10.4037/ajcc2019572.
    • Harvard: Australian:
      Brooten, D, Youngblut, JM, Roche, RM, Caicedo, C, Del-Moral, T, Cantwell, GP & Totapally, BR 2019, ‘Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death’, American Journal of Critical Care, vol. 28, no. 3, pp. 193–201, viewed 2 July 2020, .
    • MLA:
      Brooten, Dorothy, et al. “Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death.” American Journal of Critical Care, vol. 28, no. 3, May 2019, pp. 193–201. EBSCOhost, doi:10.4037/ajcc2019572.
    • Chicago/Turabian: Humanities:
      Brooten, Dorothy, JoAnne M. Youngblut, Rosa M. Roche, Carmen Caicedo, Teresa Del-Moral, G. Patricia Cantwell, and Balagangadhar R. Totapally. “Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death.” American Journal of Critical Care 28, no. 3 (May 2019): 193–201. doi:10.4037/ajcc2019572.
    • Vancouver/ICMJE:
      Brooten D, Youngblut JM, Roche RM, Caicedo C, Del-Moral T, Cantwell GP, et al. Acute Illnesses, Use of Health Services, and Changes in Medication Among Parents After Infant or Child Death. American Journal of Critical Care [Internet]. 2019 May [cited 2020 Jul 2];28(3):193–201. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=rzh&AN=136184554