Navigation Links
Medical Futility Trend Seen in Neonatal Deaths
Date:7/5/2011

TUESDAY, July 5 (HealthDay News) -- Most deaths that occur in neonatal intensive care units at U.S. hospitals are due to withdrawal of life support and the withholding of lifesaving measures, a new study reveals.

Neonatal infants (younger than 28 days old) account for the majority of childhood deaths in the United States, and most of those neonatal deaths occur after a decision to withdraw or withhold life-sustaining treatment, according to background information in the study, which is published in the July issue of the journal Archives of Pediatrics and Adolescent Medicine.

Research conducted in the past three decades showed that an increasing number of American parents are deciding to forgo life-sustaining treatment at the end of their child's life, and there has also been a rise in the number of children with do-not-resuscitate orders, the study authors noted.

In order to find out if such trends are continuing, Dr. Julie Weiner, of Children's Mercy Hospital in Kansas City, Mo., and colleagues examined the medical records of 414 infants who died between January 1999 and December 2008 at a regional referral neonatal intensive care unit (NICU).

Forty-five percent of the infants had major birth defects, and 17 percent of those infants were also very preterm (less than 32 weeks of gestation). Thirty-five percent of the infants were very preterm and had no birth defects, according to the report.

The researchers found that 61.6 percent of infant deaths followed withdrawal of treatment, 20.8 percent followed withholding of treatment, and 17.6 percent died despite attempted cardiopulmonary resuscitation (CPR).

Over the 10-year study period, the number of deaths that occurred after withholding of treatment increased by an average of 1.03 deaths per year. Among very preterm infants, deaths following withholding of treatment increased from less than 10 percent to more than 30 percent.

The researchers also found that the use of CPR at death decreased.

"During the 10-year period, the primary mode of death in this regional referral neonatal intensive care unit was withdrawal of life-sustaining support," the researchers concluded. "Significant increase in withholding of care suggests improved recognition of medical futility and desire to provide a peaceful death."

More information

The Nemours Foundation has more about the NICU.

-- Robert Preidt

SOURCE: JAMA/Archives journals, news release, July 4, 2011


'/>"/>
Copyright©2010 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. TheReliefPlace.com Launches Online Store “The Relief Shop” - What Does this Medical Supply Store Carry and How Can They Help You?
2. Medical Transcription Services and EHR Provider MxSecure Launches New Enhanced Website with Goal of Improved Physician Productivity
3. Medical Training School, Pima Medical Institute Offering First Bachelor's Degree Program
4. FDA Seeks Reduction in Radiation From Medical Scans
5. UH Case Medical Center researchers publish promising findings for advanced cervical cancer
6. University of Virginia Health System Medical Laboratories Selects Sunquest's Specimen Collection Solution
7. Medical Imaging Northwest Completes Phase I of Its Healthcare IT Integration to Maintain Patient Care Improvements
8. Centene Corporation Hosts Medical Management Systems Update in New York City
9. CelebrityDiagnosis.com Nominated as Best New Medical Blog of 2009
10. Medical Malpractice Survivors Urge President Obama to Keep Tort Reform out of Health Insurance Bill
11. Tufts Medical Center and Boston Medical Center Nurses Hold a Joint Informational Picket to Protest Unsafe Staffing and Practice Conditions
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
 Medical Futility Trend Seen in Neonatal Deaths 
(Date:10/12/2017)... ... October 12, 2017 , ... First Healthcare Compliance (FHC), an ... showcase a range of technology and learning solutions at the 68th Annual American ... to be held October 14–18, 2017 at the Mandalay Bay Resort in Las ...
(Date:10/12/2017)... , ... October 12, 2017 , ... IsoComforter, Inc. ( ... announced today the introduction of an innovative new design of the shoulder pad. ... you get maximum comfort while controlling your pain while using cold therapy. By utilizing ...
(Date:10/12/2017)... ... October 12, 2017 , ... Dr. Parsa Mohebi, ... a medical article to the newly revamped Cosmetic Town journal section, ... hair transplant procedure known as Follicular Unit Extraction (FUE). , Dr. ...
(Date:10/12/2017)... ... October 12, 2017 , ... Women-owned and Grand Rapids-based workplace ... Brightest in Wellness® by Best and Brightest. OnSite Wellness will be honored at ... from 7:30 a.m. to 2 p.m. at the Henry Autograph Collection Hotel, located ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... University of California Berkeley, and other leading institutions in announcing the launch of ... institutions to change the way animals are raised for food. , Founding members ...
Breaking Medicine News(10 mins):
(Date:10/10/2017)... 10, 2017   West Pharmaceutical Services, Inc. ... injectable drug administration, today shared the results of a ... improving the intradermal administration of polio vaccines. The study ... in May 2017 by Dr. Ondrej Mach , ... Health Organization (WHO), and recently published in the journal ...
(Date:10/4/2017)... , Oct. 4, 2017 ... single-use, self-contained, illuminating medical devices, today announced regulatory ... Health Surveillance Agency (or Agência Nacional de Vigilância ... first single-use, cordless surgical retractor with integrated LED ... optimal access, illumination and exposure of a tissue ...
(Date:10/2/2017)... The Rebound mobile app is poised to become ... tide of prescription drug addiction. The app empowers users to ... stepping down their dosage in a safe, controlled manner while ... the first 100,000 people to sign up will enjoy 3 ... ...
Breaking Medicine Technology: