Literature DB >> 8874112

Staff attitudes towards continuation of life-support in newborns with major congenital anomalies.

F W Hazebroek1, R M Smeets, A P Bos, C Ouwens, D Tibboel, J C Molenaar.   

Abstract

UNLABELLED: This study was conducted to gain insight into the attitudes of medical staff towards life-support of newborns with life-threatening problems, seen against the background of these children's expected morbidity and quality of life. The opinions about the mode of life-support were determined by questionnaires and the demographic characteristics of the respondents were noted. Each patient's risk of mortality was scored by means of the standardized Paediatric Risk of Mortality Score (PRISM). Attitudes towards support were unanimous for 39 of the 46 patients. For the other 7 patients at least one of the respondents preferred a different support mode than that given at the time. The attitudes were influenced by the patient's risk of mortality.
CONCLUSION: Decisions about life-support of newborns with life-threatening problems should include all the disciplines involved in patient care and should be made at an early stage.

Entities:  

Mesh:

Year:  1996        PMID: 8874112     DOI: 10.1007/bf02002907

Source DB:  PubMed          Journal:  Eur J Pediatr        ISSN: 0340-6199            Impact factor:   3.183


  12 in total

1.  Ethical decisions in neonatal intensive care units: the Dutch experience.

Authors:  P J Sauer
Journal:  Pediatrics       Date:  1992-11       Impact factor: 7.124

2.  Medical decisions concerning the end of life in children in The Netherlands.

Authors:  H K Visser; H G Aartsen; I D de Beaufort
Journal:  Am J Dis Child       Date:  1992-12

Review 3.  Consensus report on the ethics of foregoing life-sustaining treatments in the critically ill. Task Force on Ethics of the Society of Critical Care Medicine.

Authors: 
Journal:  Crit Care Med       Date:  1990-12       Impact factor: 7.598

4.  Pediatric risk of mortality (PRISM) score.

Authors:  M M Pollack; U E Ruttimann; P R Getson
Journal:  Crit Care Med       Date:  1988-11       Impact factor: 7.598

5.  Cardiopulmonary resuscitation in hospitalized patients: continuing problems of decision-making.

Authors:  J Kyff; V K Puri; R Raheja; T Ireland
Journal:  Crit Care Med       Date:  1987-01       Impact factor: 7.598

6.  Staff attitudes towards the care of the critically ill in the medical intensive care unit.

Authors:  S Youngner; D L Jackson; M Allen
Journal:  Crit Care Med       Date:  1979-02       Impact factor: 7.598

7.  Burnout in the neonatal intensive care unit.

Authors:  R E Marshall; C Kasman
Journal:  Pediatrics       Date:  1980-06       Impact factor: 7.124

8.  Measuring moral judgment in nursing dilemmas.

Authors:  P Crisham
Journal:  Nurs Res       Date:  1981 Mar-Apr       Impact factor: 2.381

9.  Withholding and withdrawal of life support from surgical neonates with life-threatening congenital anomalies.

Authors:  F W Hazebroek; D Tibboel; M Mourik; A P Bos; J C Molenaar
Journal:  J Pediatr Surg       Date:  1993-09       Impact factor: 2.545

10.  Effectiveness and efficiency of a Dutch pediatric intensive care unit: validity and application of the Pediatric Risk of Mortality score.

Authors:  R J Gemke; G J Bonsel; A J van Vught
Journal:  Crit Care Med       Date:  1994-09       Impact factor: 7.598

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