Causes and circumstances of death in a neonatal unit over 20 years

Background We examined changes in the causes and circumstances of death in our neonatal intensive care unit (NICU) over 20 years. Methods For 551 infants who died between 1993 and 2013, the principal cause of death was recorded. Circumstances of death were assigned to one of the following four categ...

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Bibliographic Details
Published in:Pediatric research 2018-04, Vol.83 (4), p.829-833
Main Authors: Michel, Marissa C, Colaizy, Tarah T, Klein, Jonathan M, Segar, Jeffrey L, Bell, Edward F
Format: Article
Language:English
Subjects:
Academic Medical Centers
Cardiopulmonary Resuscitation
Cause of Death
clinical-investigation
CPR
Decision Making
Female
Gestational Age
Hospital Mortality
Humans
Infant
Infant Mortality
Infant, Newborn
Intensive care
Intensive Care Units, Neonatal - statistics & numerical data
Iowa
Male
Medicine
Medicine & Public Health
Mortality
Newborn babies
Pediatric Surgery
Pediatrics
Respiration, Artificial
Resuscitation Orders
Retrospective Studies
Right to die
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Summary:Background We examined changes in the causes and circumstances of death in our neonatal intensive care unit (NICU) over 20 years. Methods For 551 infants who died between 1993 and 2013, the principal cause of death was recorded. Circumstances of death were assigned to one of the following four categories: death following cardiopulmonary resuscitation (CPR), death while being mechanically ventilated without CPR, death after withholding life-support interventions, and death after withdrawal of life support. Data were compared across four 5-year epochs. Results The mortality rate decreased from 5.9% in the first epoch to 3.0% in the last epoch ( P
ISSN:0031-3998
1530-0447
DOI:10.1038/pr.2018.1