Initiation of resuscitation in the delivery room for extremely preterm infants: a profile of neonatal resuscitation instructors

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dc.contributor.author Ambrosio, Cristiane Ribeiro
dc.contributor.author Sanudo, Adriana [UNIFESP]
dc.contributor.author Branco de Almeida, Maria Fernanda [UNIFESP]
dc.contributor.author Guinsburg, Ruth [UNIFESP]
dc.date.accessioned 2019-01-21T10:29:56Z
dc.date.available 2019-01-21T10:29:56Z
dc.date.issued 2016
dc.identifier http://dx.doi.org/10.6061/clinics/2016(04)06
dc.identifier.citation Clinics. Sao paulo, v. 71, n. 4, p. 210-215, 2016.
dc.identifier.issn 1807-5932
dc.identifier.uri http://repositorio.unifesp.br/handle/11600/49484
dc.description.abstract OBJECTIVE: The goal of the present study was to examine the decisions of pediatricians who teach neonatal resuscitation in Brazil, particularly those who start resuscitation in the delivery room for newborns born at 23-26 gestational weeks. METHODS: The present study was a cross-sectional study that used electronic questionnaires (Dec/11-Sep/13) sent to instructors of the Neonatal Resuscitation Program of the Brazilian Society of Pediatrics. The primary outcome was the gestational age at which the respondent said that he/she would initiate positive pressure ventilation in the delivery room. Latent class analysis was used to identify the major profiles of these instructors, and logistic regression was used to identify variables associated with belonging to one of the derived classes. RESULTS: Of 685 instructors, 82% agreed to participate. Two latent classes were identified: 'pro-resuscitation' (instructors with a high probability of performing ventilation on infants born at 23-26 weeks) and 'prolimitation' (instructors with a high probability of starting ventilation only for infants born at 25-26 weeks). In the multivariate model, compared with the 'pro-limitation' class, 'pro-resuscitation' pediatricians were more likely to be board-certified neonatologists and less likely to base their decision on the probability of the infant's death or on moral/religious considerations. CONCLUSION: The pediatricians in the most aggressive group were more likely to be specialists in neonatology and to use less subjective criteria to make delivery room decisions. en
dc.format.extent 210-215
dc.language.iso eng
dc.publisher Hospital clinicas, univ sao paulo
dc.relation.ispartof Clinics
dc.rights Acesso aberto
dc.subject Cardiopulmonary Resuscitation en
dc.subject Decision Making en
dc.subject Medical Ethics en
dc.subject Fetal Viability en
dc.subject Extremely Premature InfantDecision-Making en
dc.subject Viability en
dc.subject Attitudes en
dc.subject Model en
dc.subject Care en
dc.subject Physicians en
dc.subject Threshold en
dc.subject Limits en
dc.subject Born en
dc.title Initiation of resuscitation in the delivery room for extremely preterm infants: a profile of neonatal resuscitation instructors en
dc.type Artigo
dc.description.affiliation Universidade Federal de Uberlândia, Departamento de Pediatria, Uberlândia/MG, Brazil
dc.description.affiliation Universidade Federal de São Paulo, Bioestatística, São Paulo/SP, Brazil
dc.description.affiliation Universidade Federal de São Paulo, (UNIFESP), Pediatria, Neonatologia, São Paulo/SP, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, Bioestatística, São Paulo/SP, Brazil
dc.description.affiliationUnifesp Universidade Federal de São Paulo, (UNIFESP), Pediatria, Neonatologia, São Paulo/SP, Brazil
dc.identifier.file S1807-59322016000400210.pdf
dc.identifier.scielo S1807-59322016000400210
dc.identifier.doi 10.6061/clinics/2016(04)06
dc.description.source Web of Science
dc.identifier.wos WOS:000378142200006



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