지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 8 - 15 (8page)
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Purpose: To report the causes and patterns of death among infants admitted to our neonatal intensive care unit (NICU) over a 13-year period. In addition, we analyzed trends regarding the type of end-of-life care provided.
Methods: All of the neonates who died at the Soonchunhyang University Bucheon Hospital between January 1, 2002, and December 31, 2014, were identified. The causes and circumstances of death were extracted from individual medical records. Trends in mortality were compared between two time periods: 2002 to 2007 and 2008 to 2014.
Results: Of the 5,223 admissions to our NICU, 97 neonates died. The overall mortality rate was 1.9%. The most common cause of death was sepsis (15%). At a lower gesta- tional age, infants died of extreme prematurity and complications of prematurity. Among term infants, the principal cause of death shifted to hypoxic ischemic ence- phalopathy and asphyxia. A total of 63 infants (64.9%) received maximal intensive care, and 34 infants (35%) had redirection of intensive care. During this period, the proportion of death after redirection of care increased from 30.6% to 39.6%. Infants decided to forgo life-sustaining care before death had significantly lower gestational ages and lower birth weights (30.5 vs. 27.1 weeks, P=0.005; 1,528 vs. 1,063 g, P=0.025).
Conclusion: Infection remained an important cause of death for neonate, particul- arly for preterm infants. The proportion of infants who had redirectoin of care before death was increased, suggesting that quality-of-life should be considered an impor- tant factor in the decision-making process for the infant, parents, and medical staff.
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참고문헌 (32)
참고문헌 신청
장지영 / 2011 / Decreasing Trends of Neonatal and Infant Mortality Rates in Korea: Compared with Japan, USA, and OECD Nations / Journal of Korean Medical Science 26(9):1115~1123
Fanaroff AA / 2007 / Trends in neonatal morbidity and mortality for very low birthweight infants / Am J Obstet Gynecol 196(147):e1~e8
Horbar JD / 2002 / Trends in mortality and morbidity for very low birth weight infants, 1991-1999 / Pediatrics 110:143~151
Kusuda S / 2012 / Trends in morbidity and mortality among very-low-birthweight infants from 2003 to 2008 in Japan / Pediatr Res 72:531~538
Centers for Disease Control and Prevention / 2013 / CDC grand rounds: public health approaches to reducing U.S. infant mortality / MMWR Morb Mortal Wkly Rep 62:625~628
Fanaroff AA / 2007 / Trends in neonatal morbidity and mortality for very low birthweight infants / Am J Obstet Gynecol 196(147):e1~e8
Horbar JD / 2002 / Trends in mortality and morbidity for very low birth weight infants, 1991-1999 / Pediatrics 110:143~151
Kusuda S / 2012 / Trends in morbidity and mortality among very-low-birthweight infants from 2003 to 2008 in Japan / Pediatr Res 72:531~538
Centers for Disease Control and Prevention / 2013 / CDC grand rounds: public health approaches to reducing U.S. infant mortality / MMWR Morb Mortal Wkly Rep 62:625~628
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