{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T13:23:20Z","timestamp":1781702600475,"version":"3.54.5"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"},{"start":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T00:00:00Z","timestamp":1745539200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Palliat Care"],"DOI":"10.1186\/s12904-025-01756-9","type":"journal-article","created":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T08:17:30Z","timestamp":1745569050000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Futile therapy protocols: A 3-year review of the implementation of Polish guidelines on ineffective organ function maintenance in pediatric intensive care unit\u2014A pilot study"],"prefix":"10.1186","volume":"24","author":[{"given":"Maria","family":"Damps","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beata","family":"Rybojad","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alicja","family":"Bartkowska-\u015aniatkowska","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Aftyka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2025,4,25]]},"reference":[{"key":"1756_CR1","first-page":"77","volume":"7","author":"W Bo\u0142oz","year":"2008","unstructured":"Bo\u0142oz W, Krajnik M, et al. The definition of overzealous therapy. The consensus of the Polish working group of the End-of-Life ethics. Adv Palliat Med. 2008;7:77\u20138.","journal-title":"Adv Palliat Med"},{"key":"1756_CR2","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1093\/eurpub\/ckz245","volume":"30","author":"R Bertijn Kool","year":"2020","unstructured":"Bertijn Kool R, Verkerk EW, Meijs J, et al. Assessing volume and variation of low-value care practices in the Netherlands. Eur J Public Health. 2020;30:236\u201340.","journal-title":"Eur J Public Health"},{"key":"1756_CR3","doi-asserted-by":"publisher","first-page":"369","DOI":"10.5114\/ait.2021.111451","volume":"53","author":"A Bartkowska-\u015aniatkowska","year":"2021","unstructured":"Bartkowska-\u015aniatkowska A, Byrska-Maciejasz E, Cettler M, et al. Guidelines regarding ineffective maintenance of organ functions (futile therapy) in paediatric intensive care units. Anaesthesiol Intensive Ther. 2021;53:5: 369\u201375. https:\/\/doi.org\/10.5114\/ait.2021.111451.","journal-title":"Anaesthesiol Intensive Ther"},{"key":"1756_CR4","volume-title":"Zaniechanie i Wycofanie Si\u0119 Z Uporczywego Leczenia Podtrzymuj\u0105cego \u017bycie U Dzieci","author":"T Dangel","year":"2011","unstructured":"Dangel T, Grenda R, Kaczkowski J, et al. Zaniechanie i Wycofanie Si\u0119 Z Uporczywego Leczenia Podtrzymuj\u0105cego \u017bycie U Dzieci. Warsaw: Fundacja Warszawskie Hospicjum dla Dzieci; 2011."},{"key":"1756_CR5","doi-asserted-by":"crossref","unstructured":"K\u00fcbler A, Siewiera J, Durek G, Kusza K, Piechota M, Szkulmowski Z. Guidelines regarding the ineffective maintenance of organ functions (futile therapy) in ICU patients incapable of giving informed statements of will. Anesteziol Intensywna Terapia. 2014:229\u201334.","DOI":"10.5603\/AIT.2014.0038"},{"key":"1756_CR6","first-page":"121","volume":"4","author":"W Szczeklik","year":"2023","unstructured":"Szczeklik W, Krajnik M, Pawlikowski J, et al. Zapobieganie Terapii Daremnej U Doros\u0142ych Chorych Umieraj\u0105cych W szpitalu\u2013 stanowisko grupy Roboczej Towarzystwa Internist\u00f3w Polskich Ds. Terapii Daremnej Na Oddzia\u0142ach internistycznych. Cz\u0119\u015b\u0107 1: chory umieraj\u0105cy Nieubezw\u0142asnowolniony, Nieb\u0119d\u0105cy W Stanie Podejmowa\u0107 \u015awiadomych Decyzji Co do Leczenia W Sytuacji Daremno\u015bci Medycznej Stosowanej Terapii. Med Prakt. 2023;4:121\u201340.","journal-title":"Med Prakt"},{"key":"1756_CR7","doi-asserted-by":"publisher","unstructured":"Wu ET, Wang CC, Huang SC, Chen CH, Jou ST, Chen YC, Wu MH, Lu FL. End-of-Life Care in Taiwan: Single-Center Retrospective Study of Modes of Death. Pediatr Crit Care Med. 2021;22(8):733\u2013742. https:\/\/doi.org\/10.1097\/PCC.0000000000002715. PMID: 33767073.","DOI":"10.1097\/PCC.0000000000002715"},{"key":"1756_CR8","doi-asserted-by":"publisher","unstructured":"Schafer R, LoGiudice JA, Hargwood P, Wilpers A. The Role of Midwives in US Perinatal Palliative Care: A Scoping Review. J Midwifery Womens Health. 2024 Jul 9. https:\/\/doi.org\/10.1111\/jmwh.13664. Epub ahead of print. PMID: 38979840.","DOI":"10.1111\/jmwh.13664"},{"issue":"3","key":"1756_CR9","doi-asserted-by":"publisher","first-page":"e84","DOI":"10.1097\/AOG.0000000000003425","volume":"134","author":"American College of Obstetricians and Gynecologists","year":"2019","unstructured":"American College of Obstetricians and Gynecologists. ACOG committee opinion 786: perinatal palliative care. Obstet Gynecol. 2019;134(3):e84\u20139. https:\/\/doi.org\/10.1097\/AOG.0000000000003425.","journal-title":"Obstet Gynecol"},{"issue":"2","key":"1756_CR10","doi-asserted-by":"publisher","first-page":"e91","DOI":"10.1097\/PCC.0000000000003125","volume":"24","author":"DJ Zorko","year":"2023","unstructured":"Zorko DJ, McNally JD, Rochwerg B, Pinto N, O\u2019Hearn K, kol. International Pediatric Chronic Critical Illness Collaborative; Members of the International Pediatric Chronic Critical Illness Collaborative. Defining pediatric chronic critical illness: A scoping review. Pediatr Crit Care Med. 2023;24(2):e91\u2013103. https:\/\/doi.org\/10.1097\/PCC.0000000000003125. Epub 2022 Dec 16. PMID: 36661428.","journal-title":"Pediatr Crit Care Med"},{"key":"1756_CR11","unstructured":"The World Health. Organization Quality of Life (WHOQOL). WHO\/HIS\/HSI Rev.2012.03."},{"key":"1756_CR12","doi-asserted-by":"publisher","first-page":"1272648","DOI":"10.3389\/fped.2024.1272648","volume":"12","author":"A Sarpal","year":"2024","unstructured":"Sarpal A, Miller MR, Martin CM, Sibbald RW, Speechley KN. Perceived potentially inappropriate treatment in the PICU: frequency, contributing factors and the distress it triggers. Front Pediatr. 2024;12:1272648. https:\/\/doi.org\/10.3389\/fped.2024.1272648. PMID: 38304746; PMCID: PMC10830678.","journal-title":"Front Pediatr"},{"issue":"3","key":"1756_CR13","doi-asserted-by":"publisher","first-page":"279","DOI":"10.5114\/ait.2022.119124","volume":"54","author":"M Damps","year":"2022","unstructured":"Damps M, Gajda M, Sto\u0142tny L, Kowalska M, Kucewicz-Czech E. Limiting futile therapy as part of end-of-life care in intensive care units. Anaesthesiol Intensive Ther. 2022;54(3):279\u201384. https:\/\/doi.org\/10.5114\/ait.2022.119124. PMID: 36189906; PMCID: PMC10156502.","journal-title":"Anaesthesiol Intensive Ther"},{"key":"1756_CR14","doi-asserted-by":"publisher","unstructured":"Agra-Tu\u00f1as, Carme RN, Rodriguez-Ruiz, Emilio MD, Rodr\u00edguez Merino, Elva MD. on behalf of the MOdos de Morir en UCI Pedi\u00e1trica-2 (MOMUCIP-2) study group of the Spanish Society of Paediatric Intensive Care (SECIP). How Do Children Die in PICUs Nowadays? A Multicenter Study From Spain. Pediatric Critical Care Medicine 21(9):p e610-e616, September 2020.| https:\/\/doi.org\/10.1097\/PCC.0000000000002359","DOI":"10.1097\/PCC.0000000000002359"},{"key":"1756_CR15","doi-asserted-by":"publisher","unstructured":"Giannini A, Messeri A, Aprile A, Casalone C, Jankovic M, Scarani R, Viafora C, SARNePI Bioethics Study Group. End-of-life decisions in pediatric intensive care. Recommendations of the Italian Society of Neonatal and Pediatric Anesthesia and Intensive Care (SARNePI). Paediatr Anaesth. 2008;18(11):1089-95. https:\/\/doi.org\/10.1111\/j.1460-9592.2008.02777.x. PMID: 18950333.","DOI":"10.1111\/j.1460-9592.2008.02777.x"},{"issue":"6","key":"1756_CR16","doi-asserted-by":"publisher","first-page":"751","DOI":"10.4067\/S0370-41062017000600751","volume":"88","author":"B von Chile","year":"2017","unstructured":"von Chile B, Benavente C, Monje E, Bongain J, Ordenes N. Limitation of vital support in a Chilean pediatric intensive care unit: 2004\u20132014]. Rev Chil Pediatr. 2017;88(6):751\u20138. Spanish. doi: 10.4067\/S0370-41062017000600751. PMID: 29546924.","journal-title":"Rev Chil Pediatr"},{"key":"1756_CR17","doi-asserted-by":"publisher","unstructured":"Weise KL, Okun AL, Carter BS, Christian CW, Committee, on bioethics; section on hospice and palliative medicine; committee on child abuse and neglect. Guidance on Forgoing Life-Sustaining Medical Treatment. Pediatrics. 2017;140(3):e20171905. https:\/\/doi.org\/10.1542\/peds.2017-1905. PMID: 28847979.","DOI":"10.1542\/peds.2017-1905"},{"key":"1756_CR18","unstructured":"Stanowisko Zespo\u0142u powo\u0142anego przy. Rzeczniku Praw Pacjenta ds. opracowania standard\u00f3w post\u0119powania w terapiach medycznych stosowanych w okresie ko\u0144cz\u0105cego si\u0119 \u017cycia. Warszawa, 2021."},{"issue":"4","key":"1756_CR19","doi-asserted-by":"publisher","first-page":"188","DOI":"10.5114\/pm.2023.134720","volume":"15","author":"M Damps","year":"2023","unstructured":"Damps M, Kucewicz-Czech E. Time-limited trial\u2013 searching for rational solutions in the functioning of intensive care units. Palliat Med. 2023;15(4):188\u201392. https:\/\/doi.org\/10.5114\/pm.2023.134720.","journal-title":"Palliat Med"},{"key":"1756_CR20","unstructured":"Dangel. Tomasz Dangel Oral History. (2019). OH154-S07-i01, Bernard Becker Medical Library, Washington University in St. Louis. https:\/\/digitalcommons.wustl.edu\/ped_pal_oral_hist\/6"},{"key":"1756_CR21","unstructured":"Bhatnagar M, Kempfer LA, Lagnese KR, Hospice C. 2023 Mar 13. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan\u2013. PMID: 30725981."},{"key":"1756_CR22","doi-asserted-by":"publisher","unstructured":"de Araujo OR, Azevedo RT, de Oliveira FRC, Colleti Junior J. Tracheostomy practices in children on mechanical ventilation: a systematic review and meta-analysis. J Pediatr (Rio J). 2022 Mar-Apr;98(2):126\u201335. https:\/\/doi.org\/10.1016\/j.jped.2021.07.004. Epub 2021 Sep 10. PMID: 34509427; PMCID: PMC9432186.","DOI":"10.1016\/j.jped.2021.07.004"},{"key":"1756_CR23","doi-asserted-by":"publisher","unstructured":"Homan M, Hauser B, Romano C, Tzivinikos C. Torroni F and kol. Percutaneous Endoscopic Gastrostomy in Children: An Update to the ESPGHAN Position Paper. J Pediatr Gastroenterol Nutr. 2021;73(3):415\u2013426. https:\/\/doi.org\/10.1097\/MPG.0000000000003207. PMID: 34155150.","DOI":"10.1097\/MPG.0000000000003207"}],"container-title":["BMC Palliative Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-025-01756-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12904-025-01756-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12904-025-01756-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,25]],"date-time":"2025-04-25T08:17:34Z","timestamp":1745569054000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpalliatcare.biomedcentral.com\/articles\/10.1186\/s12904-025-01756-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4,25]]},"references-count":23,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,12]]}},"alternative-id":["1756"],"URL":"https:\/\/doi.org\/10.1186\/s12904-025-01756-9","relation":{},"ISSN":["1472-684X"],"issn-type":[{"value":"1472-684X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,4,25]]},"assertion":[{"value":"17 January 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"16 April 2025","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 April 2025","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The study design was approved by the Ethics Committee of the Medical University of Lublin (KE\/651\/07\/2024). It wasn\u2019t experiment on humans. There was no need to obtain consent to participate. We used available medical documentation with the consent of the Ethics Committee. The study was conducted in accordance with the Declaration of Helsinki.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"114"}}