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Survey of complementary and alternative medicine in pediatric inpatient settings
Affiliation:1. Nemours/A.I. duPont Hospital for Children, Wilmington, DE, United States;2. Sidney Kimmel Medical College at Thomas Jefferson University, United States;1. European Georges Pompidou Hospital (APHP), Emergency Department, Paris, France;2. European Georges Pompidou Hospital (APHP), Cardiology Department, Paris, France;3. Cochin Hospital (APHP), Medical Intensive Care Unit, Paris, France;4. Cochin Hospital (APHP), Emergency Department, Paris, France;5. Sudden Death Expertise Centre, INSERM U970 (Team 4), Paris, France;6. Paris Descartes University, Paris, France;7. Raymond Poincaré Hospital (APHP), SAMU 92, Paris, France;8. Avicenne Hospital (APHP), SAMU 93, Paris, France;9. Henri Mondor Hospital (APHP), SAMU 94, Paris, France;10. Necker Hospital (APHP), SAMU 75, Paris, France;11. BSPP, Paris, France;1. Theory Division, Saha Institute of Nuclear Physics, 1/AF, Bidhannagar, Kolkata 700064, India;2. Centre for Excellence in Basic Sciences, University of Mumbai, Vidhyanagari Campus, Mumbai - 400098, India
Abstract:ObjectivesWhile use of complementary and alternative medicine (CAM) is common in children, we know little about its use for hospitalized children. This survey measured the rate of CAM use, specific modalities used, and policies related to CAM use for hospitalized children.DesignAnonymous survey of hospitals in the Pediatric Research in Inpatient Settings (PRĪS) networkSettingHospitals in the PRĪS network.Main outcome measuresRate of overall and specific CAM modality use, including whether these modalities are provided, permitted, or prohibited, and presence of a written policy on CAM use.ResultsOf 99 sites queried, 22 responded. Of these, 82% of sites reported some CAM presence, and 63% reported official provision of CAM therapies. Freestanding children’s hospitals provided more modalities than other types of hospitals. There was no difference in number of modalities by geographic location. The most commonly provided CAM modalities were massage and biofield therapies. The most commonly prohibited modalities were inpatient placebos outside of research settings, medical marijuana, and inpatient homeopathic preparations. Only one site reported having a written policy on CAM use.ConclusionsAmong responding institutions, the most reported some CAM presence with a wide variety of CAM modalities provided and permitted. Written institutional policies on CAM were rare.
Keywords:Pediatric  Inpatient  Survey
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