Document Detail


Restriction of ongoing intensive care in neonates: a prospective study.
MedLine Citation:
PMID:  16882808     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The purpose of this work was to record the current practice of restricting ongoing intensive care in severely ill newborns. METHODS: This was a prospective observational study over a 30-month period of consecutive newborns for whom restriction of ongoing intensive care was taken into consideration, discussed, or decided on. A standardized form recorded patients' medical condition, the type of restriction decided on, parents' wishes, and their information level. The research was conducted in a neonatal unit of a level III university children's hospital, with no interventions. RESULTS: Forty patients were enrolled, 25 were preterm, 21 had either a genetic defect or an inborn malformation. Restriction of ongoing intensive care was decided on for 32 patients with a great variety of specified recommendations. Thirty-six patients died during the observation period. In general, parents were well informed; however, their wishes concerning restriction of ongoing intensive care were unknown in approximately 25% of cases. CONCLUSIONS: The decision-making process for restriction of ongoing intensive care is well established, but the role of parents needs to be defined.
Authors:
Roland Hentschel; Katharina Lindner; Markus Krueger; Stella Reiter-Theil
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Pediatrics     Volume:  118     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2006 Aug 
Date Detail:
Created Date:  2006-08-02     Completed Date:  2006-09-11     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  563-9     Citation Subset:  AIM; IM    
Affiliation:
Department of Pediatrics and Adolescent Medicine, Division of Neonatology, University of Freiburg, Mathildenstrasse 1, 79106 Freiburg, Germany. roland.hentschel@uniklinik-freiburg.de
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MeSH Terms
Descriptor/Qualifier:
Cerebral Hemorrhage / epidemiology,  therapy*
Congenital Abnormalities / epidemiology,  therapy*
Decision Making
Ethics Committees, Clinical
Genetic Diseases, Inborn / epidemiology,  therapy*
Germany / epidemiology
Gestational Age
Hospital Mortality
Hospitals, University / statistics & numerical data
Humans
Infant, Newborn
Infant, Premature, Diseases / epidemiology,  therapy
Intensive Care, Neonatal* / ethics,  statistics & numerical data
Medical Futility
Parents / psychology
Patient Discharge
Physicians / psychology
Prognosis
Prospective Studies
Quality of Life
Refusal to Treat* / ethics,  statistics & numerical data

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


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