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首页> 外文期刊>Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies >Deaths in a neonatal intensive care unit: A 10-year perspective.
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Deaths in a neonatal intensive care unit: A 10-year perspective.

机译：新生儿重症监护病房的死亡人数：十年观察。

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OBJECTIVE: To examine changes in the characteristics and management of infants dying in a regional neonatal intensive care unit in 1987-1988 vs. 1997-1998. SETTING: The level III Neonatal Intensive Care Unit (NICU) at Rikshospitalet, Oslo, Norway, handles both regional and national referrals. Design/Methods: The study was retrospective and observational. Patients who died in the neonatal intensive care unit were identified using our own and the hospital's data records. Charts were reviewed by the principal author. RESULTS: The mortality rate relative to admissions decreased significantly from 1987-1988 to 1997-1998 (6.9% vs. 3.4%, p <.0001). Infants who died in 1997-1998 were more mature and had higher birth weights than those who died in 1987-1988 (34.0 +/- 5.5 vs. 32 +/- 6.0 wks gestational age [mean +/- sd], p <.05; and 2186 +/- 1207 vs. 1699 +/- 1038 g, p <.05). There was a significantly higher proportion of infants with complex congenital malformations among those who died in 1997-1998 (54% vs. 28%, p <.005). Forgoing intensive care treatment was more commonly associated with the process of dying in 1997-1998 than 10 yrs earlier (63.5% vs. 22.8%, p <.0001). Parental involvement in the process leading to a decision to forgo life support was more frequently described in the charts from 1997-1998 (72.7% vs. 23.8%, p <.001). During the last time period, parents were also present at the time of death significantly more often. CONCLUSIONS: The mortality rate of sick infants decreased significantly between 1987-1988 and 1997-1998, showing the improvements in neonatal intensive care during that decade. In 1997-1998, congenital malformations had become the leading cause of death. Parental involvement in life-and-death questions seems to have become the rule, and almost two thirds of neonatal intensive care unit deaths followed a decision to forgo life support.
机译：目的：研究1987-1988年与1997-1998年在区域新生儿重症监护病房死亡的婴儿的特征和治疗方法的变化。地点：挪威奥斯陆Rikshospitalet的III级新生儿重症监护病房（NICU）负责区域和国家的转诊。设计/方法：这项研究是回顾性和观察性的。使用我们自己和医院的数据记录来识别在新生儿重症监护室死亡的患者。图表由主要作者审阅。结果：相对于入院的死亡率从1987-1988年到1997-1998年显着降低（6.9％比3.4％，p <.0001）。与1987-1988年死亡的婴儿相比，1997-1998年死亡的婴儿更成熟，体重更高（34.0 +/- 5.5 vs. 32 +/- 6.0 wks胎龄[平均值+/- sd]，p <。 05;和2186 +/- 1207 vs. 1699 +/- 1038 g，p <.05）。在1997-1998年死亡的婴儿中，具有复杂先天性畸形的婴儿比例显着更高（54％比28％，p <.005）。与10年之前相比，在1997-1998年，放弃重症监护病房与死亡过程更为普遍（63.5％对22.8％，p <.0001）。在1997-1998年的图表中，父母更频繁地参与决定放弃生命支持的过程（72.7％vs. 23.8％，p <.001）。在最后一个时期，父母去世时的出席率也显着提高。结论：1987-1988年至1997-1998年期间，患病婴儿的死亡率显着下降，表明在这十年中新生儿重症监护病情有所改善。在1997-1998年，先天性畸形已成为主要的死亡原因。父母参与生死问题似乎已经成为规则，几乎三分之二的新生儿重症监护病房死亡是在决定放弃生命支持之后作出的。

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