{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T22:07:22Z","timestamp":1780524442048,"version":"3.54.1"},"reference-count":37,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100015690","name":"South Carolina Clinical and Translational Research Institute, Medical University of South Carolina","doi-asserted-by":"crossref","award":["1UL1TR001450"],"award-info":[{"award-number":["1UL1TR001450"]}],"id":[{"id":"10.13039\/100015690","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Palliative Medicine Reports"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Extremely premature infants (&lt;28 weeks gestational age) have a greater risk of mortality and, when they survive, higher rates of significant neurological disability and need for medical care. As a result, extremely premature infants and their families often benefit from early involvement of palliative care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To identify possible associations between palliative care consultation and length of life, code status, and manner of death of extremely premature versus nonextremely premature neonates.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective, cohort study of premature infants with a terminal admission at two academic medical centers in the southeastern United States. The primary hypothesis was that extreme prematurity was associated with receipt of a palliative care consultation. Secondary hypotheses examined the association between extreme prematurity with (1) time from admission to death and (2) code status and manner of death.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Extreme prematurity was associated with a lower likelihood of a palliative care consultation (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001) than for older neonates. When consultations occurred, they were often within the final days or hours of life. Females had a 43% higher likelihood of a palliative care consultation than males when controlling for other factors (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.001). Extremely premature infants had lower odds of having an allow natural death versus full code status than older infants (\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.008).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Infants born extremely premature were less likely to receive palliative care consultation during a terminal admission than older preterm infants. Considering the higher burden of comorbidities and later nature of consultation, extremely premature infants may benefit from earlier and more frequent integration of palliative care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/26892820261454692","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:30:18Z","timestamp":1780367418000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trends in Palliative Care Consultation for Extremely Premature Neonate Nonsurvivors in the Intensive Care Unit"],"prefix":"10.1177","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6589-922X","authenticated-orcid":false,"given":"Natalie R.","family":"Barnett","sequence":"first","affiliation":[{"name":"Division of Pediatric Anesthesia, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariah","family":"Tanious","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesia, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."},{"name":"Center for Bioethics, Harvard Medical School, Boston, Massachusetts, USA."},{"name":"The Institute of Human Values in Health Care, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicole","family":"McCoy","sequence":"additional","affiliation":[{"name":"Division of Pediatric Anesthesia, Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caroline","family":"Schlee","sequence":"additional","affiliation":[{"name":"Department of Anesthesia and Perioperative Medicine, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jessica","family":"Clarke-Pounder","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Department of Pediatrics, Atrium Health Levine Children\u2019s Hospital, Charlotte, North Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bethany","family":"Wolf","sequence":"additional","affiliation":[{"name":"Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Cahill","sequence":"additional","affiliation":[{"name":"Division of Neonatal Perinatal Medicine, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Arenth","sequence":"additional","affiliation":[{"name":"The Institute of Human Values in Health Care, Medical University of South Carolina, Charleston, South Carolina, USA."},{"name":"Divisions of Pediatric Critical Care and Pediatric Palliative Care, Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"issue":"5","key":"e_1_3_3_2_1","article-title":"Infant mortality in the United States, 2022: Data from the period linked birth\/infant death file","author":"Ely DM","year":"2024","unstructured":"1.Ely DM, , Driscoll AK. Infant mortality in the United States, 2022: Data from the period linked birth\/infant death file. Natl Vital Stat Rep 2024(5); doi: 10.15620\/cdc\/157006","journal-title":"Natl Vital Stat Rep"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.13353"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000731"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.108.3.653"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0447"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2021.23580"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2018-0933"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2015.145"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/ddrr.123"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-064153"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2008-2215"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2014.193"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210687"},{"key":"e_1_3_3_15_1","unstructured":"14.Palliative Care for Children. 2023. Available from: https:\/\/www.who.int\/europe\/news-room\/fact-sheets\/item\/palliative-care-for-children [Last accessed: September30 2024]."},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0b013e31821be411"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/pedsos.2025-000818"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/children5020021"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1542\/pir.35-8-318"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/pbc.25530"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2019.08.005"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000698"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2011.0196"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1089\/jpm.2017.0092"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1093\/biostatistics\/kxr032"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2019.10.039"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41372-018-0067-1"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1395475"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2014.189"},{"key":"e_1_3_3_30_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMp1215620"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpainsymman.2023.01.025"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2024.114194"},{"key":"e_1_3_3_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2024.113930"},{"key":"e_1_3_3_34_1","doi-asserted-by":"publisher","DOI":"10.1891\/0730-0832.36.1.48"},{"key":"e_1_3_3_35_1","doi-asserted-by":"publisher","DOI":"10.1038\/sj.jp.7210582"},{"key":"e_1_3_3_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2014.3566"},{"key":"e_1_3_3_37_1","doi-asserted-by":"publisher","DOI":"10.1097\/PCC.0000000000000848"},{"key":"e_1_3_3_38_1","doi-asserted-by":"publisher","DOI":"10.1097\/pq9.0000000000000129"}],"container-title":["Palliative Medicine Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26892820261454692","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/26892820261454692","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/26892820261454692","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,3]],"date-time":"2026-06-03T21:16:14Z","timestamp":1780521374000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/26892820261454692"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":37,"alternative-id":["10.1177\/26892820261454692"],"URL":"https:\/\/doi.org\/10.1177\/26892820261454692","relation":{},"ISSN":["2689-2820","2689-2820"],"issn-type":[{"value":"2689-2820","type":"print"},{"value":"2689-2820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"article-number":"26892820261454692"}}