The Mathematics of Morality for Neonatal Resuscitation
The Mathematics of Morality for Neonatal Resuscitation
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DOI：
10.1016/j.clp.2012.09.013
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发表时间：
2012-12-01
影响因子：
2.1
通讯作者：
Lantos, John
中科院分区：
文献类型：
--
作者：
Meadow, William;Lagatta, Joanne;Lantos, John
这篇文章讨论了围绕婴儿复苏的伦理问题，这些婴儿有很大的死亡或存活风险，有显著的发病率。介绍了关于金钱、结果和预测的数据。孕龄对出生后的某些结果的影响大于其他结果。在复苏过程的四个阶段可以进行预测。数据表明，产前和产房的预测是不够的，在出院时预测为时已晚。讨论了神经发育障碍患者死亡或存活结局的预测值（>95%）。
This article discusses the ethical issues surrounding the resuscitation of infants who are at great risk to die or survive with significant morbidity. Data are introduced regarding money, outcomes, and prediction. Gestational age influences some of the outcomes after birth more than others do. Prediction is possible at four stages of the resuscitation process. Data suggest that antenatal and delivery room predictions are inadequate, and prediction at the time of discharge is too late. The predictive value (>95%) for the outcome of death or survival with neurodevelopmental impairment is discussed.