Document Detail

A classification of end-of-life decisions in neonates and infants.
MedLine Citation:
PMID:  15124828     Owner:  NLM     Status:  MEDLINE    
AIM: Valid and reliable data are needed to gain insight into the decisions of paediatricians concerning the end of life of newborns and infants. Such data could throw light on the poorly documented aspects of medical practice regarding these end-of-life decisions (ELDs). In this article a classification of ELDs is developed. METHODS: The classification is developed from knowledge generated from large-scale epidemiological studies on ELDs. RESULTS: This classification sets out from considerations of the various possible medical end-of-life procedures for newborns and infants and from important ethical aspects of the decision-making process. From both ethical and legal viewpoints the life-shortening intention of the physician is a significant factor for the qualification of ELDs. Furthermore, the consultation of the parents is an important factor in absence of the possibility of the patient's self-determination. CONCLUSION: This classification has been devised with the aim of making reliable and valid descriptions of both the incidence and nature of ELDs in this specific population of newborns and infants.
V Provoost; L Deliens; F Cools; P G Deconinck; J Ramet; F Mortier; Y Vandenplas
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  93     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2004 Mar 
Date Detail:
Created Date:  2004-05-04     Completed Date:  2004-07-27     Revised Date:  2006-03-27    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  301-5     Citation Subset:  E; IM    
Department of Medical Sociology, Free University of Brussels (VUB), Brussels, Belgium.
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MeSH Terms
Decision Making* / ethics
Ethics, Medical*
Infant, Newborn
Medical Futility
Quality of Life
Terminal Care* / classification,  ethics

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