Publication
Center, Gestational Age, and Race Impact End-of-Life Care Practices at Regional Neonatal Intensive Care Units
Fry J, Matoba N, Datta A, DiGeronimo R, Coghill C, Natarajan G, Brozanski B, Leuthner S, Niehaus J, Schlegel A, Shah A, Zaniletti I, Bartman T, Murthy K, Sullivan K, Asselin J, Durand D, Dykes F, Evans J, Padula M, Pallotto E, Grover T, Piazza A, Reber K, Short B · Journal of Pediatrics. · 2019
Objective: To assess the impact of intercenter variation and patient factors on end-of-life care practices for infants who die in regional neonatal intensive care units (NICUs). Study design: We conducted a retrospective cohort analysis using the Children's Hospital Neonatal Database during 2010-2016. A total of 6299 nonsurviving infants cared for in 32 participating regional NICUs were included to examine intercenter variation and the effects of gestational age, race, and cause of death on 3 end-of-life care practices: do not attempt resuscitation orders (DNR), cardiopulmonary resuscitation within 6 hours of death (CPR), and withdrawal of life-sustaining therapies (WLST). Factors associated with these practices were used to develop a multivariable equation.
Synced from the TRENDS in Pediatric Palliative Care Zotero library, curated by The Siden Research Team. ICPCN does not host or verify the full text.