{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,12,5]],"date-time":"2024-12-05T05:26:37Z","timestamp":1733376397885,"version":"3.30.1"},"reference-count":26,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T00:00:00Z","timestamp":1728691200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2024,12]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to compare patients referred to our retrieval service who were palliated before transfer, versus those transferred who were palliated within 7\u2009days of birth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted a retrospective chart review of infants referred to our neonatal retrieval service between 1 December 2015 and 31 March 2022 who died during retrieval or within 7\u2009days of referral. Demographic and clinical data were collected from the service database and electronic medical records.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Data on 60 infants were analysed; 25 (42%) infants were not transported and were palliated at the referring hospital, 35 (58%) infants were transported and later palliated at the accepting hospital. The most common primary diagnoses were prematurity (42%) and hypoxemic ischemic encephalopathy (HIE) (42%). Infants palliated at the referring hospital were more likely than those transported and later palliated to require resuscitation including chest compressions (52% vs. 23%, <jats:italic>P<\/jats:italic>\u2009=\u20090.02), management for hypotension (72% vs. 20%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001) and management for pneumothorax (28% vs. 0%, <jats:italic>P<\/jats:italic>\u2009=\u20090.001) and less likely to require management for seizures (8% vs. 43%, <jats:italic>P<\/jats:italic>\u2009=\u20090.003).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Palliation at the referring hospital should be considered as an option when escalating care is predicted to not affect outcome. In this cohort the infants least likely to be transported required significant management during stabilisation. Determining the infants for whom transport is non\u2010beneficial remains difficult.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.16696","type":"journal-article","created":{"date-parts":[[2024,10,12]],"date-time":"2024-10-12T12:45:12Z","timestamp":1728737112000},"page":"838-843","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Complex end\u2010of\u2010life decision\u2010making during neonatal retrieval: A retrospective cohort study"],"prefix":"10.1111","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5645-9342","authenticated-orcid":false,"given":"David","family":"Cantelmi","sequence":"first","affiliation":[{"name":"NeoRESQ Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luke","family":"Jardine","sequence":"additional","affiliation":[{"name":"NeoRESQ Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alison","family":"Griffin","sequence":"additional","affiliation":[{"name":"Statistics Unit QIMR Berghofer Medical Research Institute  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucy","family":"Cooke","sequence":"additional","affiliation":[{"name":"NeoRESQ Royal Brisbane and Women's Hospital  Brisbane Queensland Australia"},{"name":"Faculty of Medicine University of Queensland  Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,10,12]]},"reference":[{"volume-title":"Perinatal Statistics Queensland","year":"2021","author":"Queensland Health","key":"e_1_2_6_2_1"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/JPN.0b013e31821a20ab"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-2277"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-12-25"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jnn.2021.03.007"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.574121"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.siny.2012.10.012"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/fn.85.1.F1"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2020.00067"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-021-03810-9"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7211358"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-1839"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e31819d4e6d"},{"key":"e_1_2_6_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00431-004-1451-8"},{"key":"e_1_2_6_16_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2003-0960-L"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2005-1230"},{"key":"e_1_2_6_18_1","doi-asserted-by":"publisher","DOI":"10.3233\/NPM-1473813"},{"key":"e_1_2_6_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.earlhumdev.2016.03.015"},{"key":"e_1_2_6_20_1","doi-asserted-by":"publisher","DOI":"10.5455\/medarh.2016.70.182-185"},{"key":"e_1_2_6_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9378(99)70270-X"},{"key":"e_1_2_6_22_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-1424"},{"key":"e_1_2_6_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.14494"},{"key":"e_1_2_6_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fped.2019.00399"},{"key":"e_1_2_6_25_1","unstructured":"Google Maps.Queensland. 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