European Journal of Pediatrics

, Volume 155, Issue 9, pp 783–786 | Cite as

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

  • F. W. J. Hazebroek
  • R. M. M. Smeets
  • A. P. Bos
  • C. Ouwens
  • D. Tibboel
  • J. C. Molenaar
Intensive Care Medicine

Abstract

Abstract

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 questonnaires 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 lifesupport of newborns with life-threatening problems should include all the disciplines involved in patient care and should be made at an early stage.

Key words

Ethics, medical Intensive care, neonatal Lifesupport care Attitude of health personnel Quality of life 

Abbreviations

PRISM

paediatric risk of mortality

ICU

intensive care unit

CPR

cardiopulmonary resuscitation

SICS

senior intensive care specialist

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Copyright information

© Springer-Verlag 1996

Authors and Affiliations

  • F. W. J. Hazebroek
    • 1
  • R. M. M. Smeets
    • 1
  • A. P. Bos
    • 2
  • C. Ouwens
    • 1
  • D. Tibboel
    • 1
  • J. C. Molenaar
    • 1
  1. 1.Department of Paediatric SurgerySophia Children's HospitalRotterdamThe Netherlands
  2. 2.Department of Paediatrics, Paediatric Intensive Care Unit, Beatrix ClinicAcademic Hospital GroningenGroningenThe Netherlands

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