End-of-life decision-making for newborns: a 12-year experience in Hong Kong.

UM > Faculty of Health Sciences > DEPARTMENT OF BIOMEDICAL SCIENCES

Status	已發表Published
	End-of-life decision-making for newborns: a 12-year experience in Hong Kong.
	Chan, L. C.; Cheung, H. M.; Poon, T. C. W.; Ma, T. P.; Lam, H. S.; Ng, P. C.
	2016
Source Publication	Archives of Disease in Childhood-Fetal and Neonatal Edition
ISSN	1359-2998
Pages	F37-F42
Abstract	SETTING: Neonatal end-of-life decisions could be influenced by cultural and ethnic backgrounds. These practices have been well described in the West but have not been systematically studied in an Asian population. OBJECTIVES: To determine: (1) different modes of neonatal death and changes over the past 12 years and (2) factors influencing end-of-life decision-making in Hong Kong. DESIGN: A retrospective study was conducted to review all death cases from 2002 to 2013 in the busiest neonatal unit in Hong Kong. Modes of death, demographical data, diagnoses, counselling and circumstances around the time of death, were collected and compared between groups. RESULTS: Of the 166 deaths, 46% occurred despite active resuscitation (group 1); 35% resulted from treatment withdrawal (group 2) and 19% occurred from withholding treatment (group 3). A rising trend towards treatment withdrawal was observed, from 20% to 47% over the 12-year period. Similar number of parents chose extubation (n=44, 27%) compared with other modalities of treatment limitation (n=45, 27%). Significantly more parents chose to withdraw rather than to withhold treatment if clinical conditions were 'stable' (p=0.03), whereas more parents chose withholding therapy if treatment was considered futile (p=0.03).
Keyword	End-of-life Decision-making Neonate Ethics; Palliative Care
URL	View the original
Language	英語English
The Source to Article	PB_Publication
PUB ID	24272
Document Type	Journal article
Collection	DEPARTMENT OF BIOMEDICAL SCIENCES Faculty of Health Sciences
Corresponding Author	Ng, P. C.
Recommended Citation GB/T 7714	Chan, L. C.,Cheung, H. M.,Poon, T. C. W.,et al. End-of-life decision-making for newborns: a 12-year experience in Hong Kong.[J]. Archives of Disease in Childhood-Fetal and Neonatal Edition, 2016, F37-F42.
APA	Chan, L. C.., Cheung, H. M.., Poon, T. C. W.., Ma, T. P.., Lam, H. S.., & Ng, P. C. (2016). End-of-life decision-making for newborns: a 12-year experience in Hong Kong.. Archives of Disease in Childhood-Fetal and Neonatal Edition, F37-F42.
MLA	Chan, L. C.,et al."End-of-life decision-making for newborns: a 12-year experience in Hong Kong.".Archives of Disease in Childhood-Fetal and Neonatal Edition (2016):F37-F42.

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