{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,7]],"date-time":"2026-09-07T18:26:51Z","timestamp":1788805611599,"version":"build-2803163510"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T00:00:00Z","timestamp":1395360000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Paediatric Perinatal Epid"],"published-print":{"date-parts":[[2014,5]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>To explore physicians' opinions and attitudes regarding resuscitation of extremely premature infants (<jats:styled-content style=\"fixed-case\">EPIs<\/jats:styled-content>) in a developing country with suboptimal resources.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A survey was developed, revised, and pilot\u2010tested. All 964 paediatricians registered in the <jats:styled-content style=\"fixed-case\">L<\/jats:styled-content>ebanese <jats:styled-content style=\"fixed-case\">O<\/jats:styled-content>rder of <jats:styled-content style=\"fixed-case\">P<\/jats:styled-content>hysicians were contacted; physicians involved in resuscitation of <jats:styled-content style=\"fixed-case\">EPIs<\/jats:styled-content> were eligible. Between <jats:styled-content style=\"fixed-case\">F<\/jats:styled-content>ebruary and <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pril of 2009, anonymous surveys were mailed to consenting participants.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Three hundred twenty\u2010eight eligible physicians agreed to participate. One hundred twenty (36%) returned the survey, 45.3% of which were neonatologists. The vast majority agreed that parents would like to be informed and to participate in the resuscitation decision of an <jats:styled-content style=\"fixed-case\">EPI<\/jats:styled-content>. The majority of physicians considered infants at gestational age of \u226425 weeks (78%) or \u2264800\u2009g (89%) as non\u2010viable. Physician's age, years of practice, and practising neonatal intensive care unit level were significantly associated with the choice of birthweight at which infants were considered non\u2010viable.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The majority of surveyed physicians consider infants at gestational age less than or equal to 25 weeks gestation or 800\u2009g at birth as non\u2010viable, and therefore would not attempt their resuscitation. Factors influencing threshold of viability in developing countries need to be addressed and explored further.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ppe.12118","type":"journal-article","created":{"date-parts":[[2014,3,21]],"date-time":"2014-03-21T09:15:01Z","timestamp":1395393301000},"page":"227-234","source":"Crossref","is-referenced-by-count":20,"title":["Survival at the Threshold of Viability: a Nationwide Survey of the Opinions and Attitudes of Physicians in a Developing Country"],"prefix":"10.1111","volume":"28","author":[{"given":"Lama","family":"Charafeddine","sequence":"first","affiliation":[{"name":"Department of Pediatrics and Adolescent Medicine American University of Beirut  Beirut Lebanon"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah","family":"Ammous","sequence":"additional","affiliation":[{"name":"Department of Medicine Indiana University School of Medicine  Indianapolis IN"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4393-4949","authenticated-orcid":false,"given":"Mariam","family":"Kayle","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham NC"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thalia","family":"Arawi","sequence":"additional","affiliation":[{"name":"Salim El\u2010Hoss Bioethics &amp; 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