Physicians' attitudes when faced with life-threatening events in children with severe neurological disabilities.

Details

Serval ID
serval:BIB_0339A896A210
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Physicians' attitudes when faced with life-threatening events in children with severe neurological disabilities.
Journal
Developmental neurorehabilitation
Author(s)
Wosinski B., Newman C.J.
ISSN
1751-8431 (Electronic)
ISSN-L
1751-8423
Publication state
Published
Issued date
01/2019
Peer-reviewed
Oui
Volume
22
Number
1
Pages
61-66
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Children with severe neurological disabilities are at an increased risk of acute, life-threatening events. We assessed physicians' attitudes when making decisions in these situations.
We surveyed physicians in pediatric intensive care, neurology, and rehabilitation units in Swiss hospitals. The questionnaire explored participants' attitudes toward life-threatening situations in two scenarios: a child with profound intellectual and multiple disabilities (PIMD) and an infant with spinal muscular atrophy (SMA) type I.
The participation rate was 55% (52/95). There was a consensus favoring non-invasive ventilation and comfort care as well as avoiding tracheostomy and invasive ventilation. For the child with PIMD, 61% of participants opposed cardiopulmonary resuscitation (CPR), 51% for the child with SMA. Physicians with over 20 years of experience were significantly more opposed to providing CPR than less experienced colleagues.
Physicians held different views, influenced by personal factors. This highlights the importance of standardizing multidisciplinary processes toward approaching these complex situations.
Keywords
Attitude of Health Personnel, Child, Clinical Decision-Making, Disabled Children, Female, Humans, Infant, Infantile Apparent Life-Threatening Event/psychology, Infantile Apparent Life-Threatening Event/therapy, Male, Pediatricians/psychology, Surveys and Questionnaires, decision making, disability, life-threatening events, physician
Pubmed
Web of science
Create date
19/04/2018 18:32
Last modification date
20/08/2019 12:25
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