Short Term Outcome in Babies Refused Perinatal Intensive Care
Heasley, Richard N.
Patterson, Christopher C.
Halliday, Henry L.
BMJ (British Medical Journal). 1989 Sep 9; 299(6700): 647-649.
The study reported sought to compare the mortality in infants refused admission to Northern Ireland's regional perinatal center with that in babies accepted by the center. Admission was determined by bed availability. Over a three-year period, 343 of 675 prenatal or postnatal transfer requests were refused. Complete data available for 332 of the refusals showed that 261 infants were cared for in neonatal intensive care units (NICUs) in other hospitals, and 71 infants were cared for in special care units in other hospitals. There was no significant increase in mortality for infants treated in other NICUs, while the infants treated in special care units had a greater than threefold chance of dying. Long-term outcome for both groups remains uncertain. The authors call for more neonatal intensive care beds and further study of the effects of delaying or denying intensive care for at-risk infants. (KIE abstract)
Biomedical Technologies; Birth Weight; Critically Ill; Evaluation; Health; Health Care; Health Care Delivery; Hospitals; Infants; Institutional Policies; Intensive Care Units; Low Birth Weight; Minors; Morbidity; Mortality; Newborns; Patient Admission; Patient Care; Patient Transfer; Pregnant Women; Prematurity; Resource Allocation; Risk; Scarcity; Selection for Treatment; Statistics;
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