JAMA Pediatrics· 2020Q1
Neonatal Early-Onset Infection With SARS-CoV-2 in 33 Neonates Born to Mothers With COVID-19 in Wuhan, China
- 1,073citations
- Q1SCImago
- 2020year
Short summary
This study found that in neonates born to mothers with COVID-19, the preference for life-sustaining treatments was similar to palliative care, with survival rates influencing choices.
AI-generated from the title and abstract; the full text is not read.
Key points
- Life-sustaining treatment preference rates were similar to palliative care (46.9% vs 34.4% in 60% survival group; 50.0% vs 40.6% in 30% survival group).
- Attitude that survival is as important as quality of life correlated with preference for life-sustaining treatments (OR, 10.28).
- Increasing maternal age (OR, 0.77) and childlessness (OR, 0.12) were associated with a preference for palliative care.
- Most patients (98.4%) decided with partners, and 75% preferred physician empowerment in decision-making.
AI-generated from the title and abstract; the full text is not read.
Abstract
similar with respect to the preference rates for life-sustaining treatments compared with palliative care (46.9% vs 34.4% in the 60% survival group and 50.0% vs 40.6% in the 30% survival group; odds ratio [OR], 0.90; 95% CI, 0.31-2.63). A few patients were not able to formulate a preference (6 patients (18.8%) in the 60% survival group and 3 patients (9.4%) in the 30% survival group; OR, 0.423; 95% CI, 0.08-2.10). An analysis of the patients who formulated a preference showed that an attitude that mere survival is at least as important as quality of life was associated with a preference for life-sustaining treatments (OR, 10.28; 95% CI, 2.94-35.90). Increasing maternal age (OR, 0.77; 95% CI, 0.61-0.98) and childlessness (OR, 0.12; 95% CI 0.01-0.98) were associated with a preference for palliative care. Most patients would decide together with their partners (63 of 64 [98.4%]) and preferred to be empowered by their physicians in the decision-making process (48 of 64 [75%]).
The authors' abstract, as published at the source. JAMA Pediatrics, 2020 · DOI ↗
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Field: Obstetrics and Gynecology
Obstetrics and GynecologyMedicine