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Text
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URL Address
<a href="http://doi.org/10.1136/adc.2005.074971" target="_blank" rel="noreferrer">http://doi.org/10.1136/adc.2005.074971</a>
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Title
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Death in the neonatal intensive care unit: changing patterns of end of life care over two decades
Publisher
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Archives Of Disease In Childhood. Fetal And Neonatal Edition
Date
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2006
Subject
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Humans; infant; Intensive Care Units; Prognosis; Medical Audit; Intensive Care; Newborn; Premature; Chromosome Aberrations; Diseases/mortality; Hospital Mortality/trends; Terminal Care/trends; Cause of Death/trends; Infant Mortality/trends; Neonatal/trends; Neural Tube Defects/mortality; Victoria/epidemiology; Withholding Treatment/trends
Creator
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Wilkinson DJ; Fitzsimons JJ; Dargaville PA; Campbell NT; Loughnan PM; McDougall PN; Mills JF
Description
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BACKGROUND: Death remains a common event in the neonatal intensive care unit, and often involves limitation or withdrawal of life sustaining treatment. OBJECTIVE: To document changes in the causes of death and its management over the last two decades. METHODS: An audit of infants dying in the neonatal intensive care unit was performed during two epochs (1985-1987 and 1999-2001). The principal diagnoses of infants who died were recorded, as well as their apparent prognoses, and any decisions to limit or withdraw medical treatment. RESULTS: In epoch 1, 132 infants died out of 1362 admissions (9.7%), and in epoch 2 there were 111 deaths out of 1776 admissions (6.2%; p<0.001). Approximately three quarters of infants died after withdrawal of life sustaining treatment in both epochs. There was a significant reduction in the proportion of deaths from chromosomal abnormalities, and from neural tube defects in epoch 2. CONCLUSIONS: There have been substantial changes in the illnesses leading to death in the neonatal intensive care unit. These may reflect the combined effects of prenatal diagnosis and changing community and medical attitudes.
2006
Identifier
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<a href="http://doi.org/10.1136/adc.2005.074971" target="_blank" rel="noreferrer">10.1136/adc.2005.074971</a>
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Article information provided for research and reference use only. PedPalASCNET does not hold any rights over the resource listed here. All rights are retained by the journal listed under publisher and/or the creator(s).
Type
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Journal Article
2006
Archives of Disease in Childhood. Fetal and Neonatal Edition
Backlog
Campbell NT
Cause of Death/trends
Chromosome Aberrations
Dargaville PA
Diseases/mortality
Fitzsimons JJ
Hospital Mortality/trends
Humans
Infant
Infant Mortality/trends
Intensive Care
Intensive Care Units
Journal Article
Loughnan PM
McDougall PN
Medical Audit
Mills JF
Neonatal/trends
Neural Tube Defects/mortality
Newborn
Premature
Prognosis
Terminal Care/trends
Victoria/epidemiology
Wilkinson DJ
Withholding Treatment/trends