Document Detail


Impact of the perception of viability on resource allocation in the neonatal intensive care unit.
MedLine Citation:
PMID:  9766409     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To understand how neonatologists' perceptions of viability impact their willingness to recommend or provide medical interventions for infants born at 23 to 24 weeks' gestation. STUDY DESIGN: A 25-question survey mailed to 3056 neonatologists in the United States in 1992 yielded 1131 responses. Seven hundred seventy-five (775 of 1131, 69%) reported they believed that the lower limit of viability was 23 to 24 weeks' gestation. These respondents were asked if they were willing to recommend or provide a series of medical interventions for infants born at 23 and 24 weeks' gestation. RESULTS: Most respondents would provide ventilation (82% and 95%) and surfactant (62% and 78%) for infants born at 23 and 24 weeks' gestation, respectively. The respondent's prediction of <100% mortality, infant factors, and parental wishes were significant predictors of willingness to resuscitate infants born at 23 weeks' gestation. CONCLUSION: There is considerable variation among neonatologists in their willingness to recommend or provide medical interventions for infants born at 23 to 24 weeks' gestation.
Authors:
M R Sanders; P K Donohue; M A Oberdorf; T S Rosenkrantz; M C Allen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  18     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:    1998 Sep-Oct
Date Detail:
Created Date:  1998-12-23     Completed Date:  1998-12-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  347-51     Citation Subset:  E; IM    
Affiliation:
Department of Pediatrics, University of Connecticut School of Medicine, Farmington, USA.
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MeSH Terms
Descriptor/Qualifier:
Attitude of Health Personnel*
Gestational Age
Health Care Rationing / statistics & numerical data*
Health Care Surveys / statistics & numerical data
Humans
Infant Mortality
Infant, Newborn
Infant, Premature*
Infant, Very Low Birth Weight*
Intensive Care Units, Neonatal / utilization*
Intensive Care, Neonatal / utilization*
Perception
Physician's Practice Patterns / statistics & numerical data
United States

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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