The role of a pediatric ethics committee in the newborn intensive care unit

Mercurio, Mark R.

doi:10.1038/jp.2010.39

Cited by 27 publications

(18 citation statements)

References 17 publications

(13 reference statements)

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“…Some studies indicate that travel time is an important determinant of childhood mortality [2], [15]. However, studies from areas with higher health facility density have demonstrated no evidence of an association [3], [5], [11], [16]–[18]. For example, in Kenya, the lack of association between travel time and child mortality was attributed to high levels of access as most of the households were located within one hour walk from a health facility [19].…”

Section: Discussionmentioning

confidence: 99%

“…the household and the health facility). However, people in both urban and rural environments almost never travel straight-line and a number of studies have not demonstrated associations between straight line distance and mortality [11], [16], [20]. Distance travelled is a more useful measure but does not include the effect of natural barriers such as mountains and rivers and the differences in speed of travel through these barriers.…”

Section: Discussionmentioning

confidence: 99%

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Effect of Geographical Access to Health Facilities on Child Mortality in Rural Ethiopia: A Community Based Cross Sectional Study

et al. 2012

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BackgroundThere have been few studies that have examined associations between access to health care and child health outcomes in remote populations most in need of health services. This study assessed the effect of travel time and distance to health facilities on mortality in children under five years in a remote area of rural north-western Ethiopia.Methods and FindingsThis study involved a randomly selected cross sectional survey of 2,058 households. Data were collected during home visits to all resident women of reproductive age (15–49 years). A geographic information system (GIS) was used to map all households and the only health centre in the district. The analysis was restricted to 2,206 rural children who were under the age of five years during the five years before the survey. Data were analysed using random effects Poisson regression. 90.4% (1,996/2,206) of children lived more than 1.5 hours walk from the health centre. Children who lived ≥1.5 hrs from the health centre had a two to three fold greater risk of death than children who lived <1.5 hours from the health centre (children with travel time 1.5–<2.5 hrs adjusted relative risk [adjRR] 2.3[0.95–5.6], travel time 2.5–<3.5 hrs adjRR 3.1[1.3–7.4] and travel time 3.5–<6.5 hrs adjRR 2.5[1.1–6.2]).ConclusionDistance to a health centre had a marked influence on under five mortality in a poor, rural, remote area of Ethiopia. This study provides important information for policy makers on the likely impact of new health centres and their most effective location in remote areas.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Effect of Geographical Access to Health Facilities on Child Mortality in Rural Ethiopia: A Community Based Cross Sectional Study

et al. 2012

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“…24-26 Volume was measured as the mean number of VLBW infants admitted to the hospital in 2007 and 2008. Due to the presence of high volume NICUs, the data were transformed to the natural log of volume for a more normally distributed measure.…”

Section: Methodsmentioning

confidence: 99%

Association Between Hospital Recognition for Nursing Excellence and Outcomes of Very Low-Birth-Weight Infants

Lake

Staiger

Horbar

et al. 2012

JAMA

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“…1,39 Thus, they merely functioning as a sounding board for contemplating the ethical implications of daily practice and provide well-considered advice. The primary goals of an ethical committee are to help the treatment team understand which options are ethically required, which are ethically permissible, and which are ethically unsupportable.…”

Section: Re 3 Role Of Hospital Ethical Committeesmentioning

confidence: 99%

“…"Futile" is defined as being unable to accomplish the desired goal, or as "having no useful result." 39 In other words, it is a treatment that would not be beneficial in curing the underlying disease or would not achieve survival.…”

Section: Re 1 Dealing With a Complicated And Severe Congenital Anomalymentioning

confidence: 99%

Ethical aspects of care in the newborn surgical patient

Hazebroek

Tibboel

Wijnen

2014

Seminars in Pediatric Surgery

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The role of a pediatric ethics committee in the newborn intensive care unit

Cited by 27 publications

References 17 publications

Effect of Geographical Access to Health Facilities on Child Mortality in Rural Ethiopia: A Community Based Cross Sectional Study

Effect of Geographical Access to Health Facilities on Child Mortality in Rural Ethiopia: A Community Based Cross Sectional Study

Association Between Hospital Recognition for Nursing Excellence and Outcomes of Very Low-Birth-Weight Infants

Ethical aspects of care in the newborn surgical patient

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