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Titolo:
Treatment choices for extremely preterm infants: An international perspective
Autore:
de Leeuw, R; Cuttini, M; Nadai, M; Berbik, I; Hansen, G; Kucinskas, A; Lenoir, S; Levin, A; Persson, J; Rebagliato, M; Reid, M; Schroell, M; de Vonderweid, U;
Indirizzi:
Burlo Garofolo Childrens Hosp, Epidemiol Unit, I-34137 Trieste, Italy Burlo Garofolo Childrens Hosp Trieste Italy I-34137 34137 Trieste, Italy Burlo Garofolo Childrens Hosp, Unit Neonatal Intens Care, I-34137 Trieste,Italy Burlo Garofolo Childrens Hosp Trieste Italy I-34137 -34137 Trieste,Italy Univ Amsterdam, Dept Neonatol, Amsterdam, Netherlands Univ Amsterdam Amsterdam Netherlands t Neonatol, Amsterdam, Netherlands Vaszary Kolos Hosp, Dept Obstet & Gynaecol, Tergoti, Hungary Vaszary KolosHosp Tergoti Hungary Obstet & Gynaecol, Tergoti, Hungary Univ Halle Wittenberg, Dept Pediat, Halle, Germany Univ Halle Wittenberg Halle Germany enberg, Dept Pediat, Halle, Germany Vilnius Univ, Neonatal Clin, Vilnius, Lithuania Vilnius Univ Vilnius Lithuania Univ, Neonatal Clin, Vilnius, Lithuania INSERM CJF 89 08, Unit Res Reprod, Toulouse, France INSERM CJF 89 08 Toulouse France 08, Unit Res Reprod, Toulouse, France Tallinn Hosp, Newborn & Premature Childrens Dept, Tallinn, Estonia TallinnHosp Tallinn Estonia Premature Childrens Dept, Tallinn, Estonia Linkoping Univ, Ctr Med Technol Assessment, Linkoping, Sweden Linkoping Univ Linkoping Sweden d Technol Assessment, Linkoping, Sweden Miguel Hernandez Univ, Dept Publ Hlth, Alicante, Spain Miguel Hernandez Univ Alicante Spain v, Dept Publ Hlth, Alicante, Spain Univ Glasgow, Dept Publ Hlth, Glasgow, Lanark, Scotland Univ Glasgow Glasgow Lanark Scotland ubl Hlth, Glasgow, Lanark, Scotland Luxembourg Hosp, Dept Pediat, Luxembourg, Luxembourg Luxembourg Hosp Luxembourg Luxembourg pt Pediat, Luxembourg, Luxembourg
Titolo Testata:
JOURNAL OF PEDIATRICS
fascicolo: 5, volume: 137, anno: 2000,
pagine: 608 - 615
SICI:
0022-3476(200011)137:5<608:TCFEPI>2.0.ZU;2-V
Fonte:
ISI
Lingua:
ENG
Soggetto:
NEONATAL INTENSIVE-CARE; LOW-BIRTH-WEIGHT; VIABILITY; GESTATION; DECISIONS; NEWBORNS; SURVIVAL; BORN; PHYSICIANS; ATTITUDES;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
27
Recensione:
Indirizzi per estratti:
Indirizzo: Cuttini, M Burlo Garofolo Childrens Hosp, Epidemiol Unit, Via Istria 65-1,I-34137 Trieste, Italy Burlo Garofolo Childrens Hosp Via Istria 65-1 Trieste Italy I-34137
Citazione:
R. de Leeuw et al., "Treatment choices for extremely preterm infants: An international perspective", J PEDIAT, 137(5), 2000, pp. 608-615

Abstract

Objective: To compare treatment choices of neonatal physicians and nurses in 11 European countries for a hypothetical case of extreme prematurity (24weeks' gestational age, birth weight of 560 g, Apgar score of 1 at 1 minute). Study design: An anonymous, self-administered questionnaire was completed by 1401 physicians (response rate, 89%) and 3425 nurses (response rate, 86%) From a Large, representative sample of 143 European neonatal intensive care units. Italy, Spain, France, Germany: the Netherlands, Luxembourg, GreatBritain, Sweden, Hungary, Estonia, and Lithuania participated. Results: Most physicians in every country but the Netherlands would resuscitate this baby and start intensive care. On subsequent deterioration of clinical conditions caused by a severe intraventricular hemorrhage, attitudesdiverge: most neonatologists in Germany, Italy Estonia, and Hungary would favor continuation of intensive care, whereas in the other countries some form of limitation of treatment would be the preferred choice. Parental wishes appear to play a role especially in Great Britain and the Netherlands. Nurses are more prone than doctors to withhold resuscitation in the deliveryroom and to ask parental opinion regarding subsequent treatment choices. Conclusion: An extremely premature infant is regarded as viable bq most physicians, whereas after deterioration of the clinical conditions decision-making patterns vary according to country. These findings have implications for the ethical debate surrounding treatment of infants of borderline viability and for the interpretation and comparison of international statistics.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 21/09/20 alle ore 01:53:26