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March 2018 List
Text
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March 2018 List
URL Address
<a href="http://doi.org/10.1542/peds.2012-0981" target="_blank" rel="noreferrer">http://doi.org/10.1542/peds.2012-0981</a>
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
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Neonatal end-of-life care: A single-center NICU experience in Israel over a decade
Publisher
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Pediatrics
Date
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2013
Subject
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newborn care; newborn mortality; adrenal insufficiency/ep [Epidemiology]; anemia/ep [Epidemiology]; Article; brain edema/ep [Epidemiology]; brain hemorrhage/ep [Epidemiology]; cause of death; child parent relation; congenital malformation/ep [Epidemiology]; gestational age; Human; Incidence; Israel; Jerusalem; kidney failure/ep [Epidemiology]; Medical Decision Making; Middle East; necrotizing enterocolitis/ep [Epidemiology]; Newborn; newborn death; newborn hypoxia/ep [Epidemiology]; Newborn Intensive Care; newborn sepsis/ep [Epidemiology]; practice guideline; prematurity; priority journal; quality of life; Religion; respiratory failure/ep [Epidemiology]; sepsis/ep [Epidemiology]; shock/ep [Epidemiology]; treatment duration
Creator
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Eventov-Friedman S; Kanevsky H; Bar-Oz B
Description
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OBJECTIVES: To follow changes in the causes of neonatal deaths in the NICU at Hadassah Medical Center, Jerusalem, Israel, over a decade; to examine trends regarding types of end-of-life-care provided (primary nonintervention, maximal intensive, and redirection of intensive care, including limitation of care and withdrawal of life-sustaining treatment); and to assess the parental role in the decision-making process given that the majority of the population is religious. METHODS: All neonates who died between 2000 and 2009 were identified. The causes and circumstances of death were Abstract: ed from the medical records. Trends in end-of-life decisions were compared between 2 time periods: 2000-2004 versus 2005-2009. RESULTS: Overall, 239 neonates died. The leading cause of death in both study periods was prematurity and its complications (76%). Among term infants, the leading cause of death was congenital anomalies (48%). Fifty-six percent of the infants received maximal intensive care; 28% had redirection of intensive care, of whom 10% had withdrawal of life-sustaining treatment; and 16% had primary nonintervention care. Over the years, maximal intensive care decreased from 65% to 46% (P < .02), whereas redirection of care increased from 19.2% to 37.5% (P < .0005). An active parental role in the end-of-life decision process increased from 38% to 84%. CONCLUSIONS: Even among religious families of extremely sick neonates, redirection of care is a feasible treatment option, suggesting that apart from survival, quality-of-life considerations emerge as an important factor in the decision-making process for the infant, parents, and caregivers.
2013-06
Identifier
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<a href="http://doi.org/10.1542/peds.2012-0981" target="_blank" rel="noreferrer">10.1542/peds.2012-0981</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).
2013
adrenal insufficiency/ep [Epidemiology]
anemia/ep [Epidemiology]
Article
Bar-Oz B
brain edema/ep [Epidemiology]
brain hemorrhage/ep [Epidemiology]
Cause Of Death
Child Parent Relation
congenital malformation/ep [Epidemiology]
Eventov-Friedman S
Gestational Age
Human
Incidence
Israel
Jerusalem
Kanevsky H
kidney failure/ep [Epidemiology]
March 2018 List
Medical Decision Making
Middle East
necrotizing enterocolitis/ep [Epidemiology]
Newborn
Newborn Care
Newborn Death
newborn hypoxia/ep [Epidemiology]
Newborn Intensive Care
newborn mortality
newborn sepsis/ep [Epidemiology]
Pediatrics
Practice Guideline
Prematurity
Priority Journal
Quality Of Life
Religion
respiratory failure/ep [Epidemiology]
sepsis/ep [Epidemiology]
shock/ep [Epidemiology]
treatment duration