Factors influencing decision making in neonatology: inhaled nitric oxide in preterm infants.
Administration, Inhalation
Attitude of Health Personnel
Clinical Decision-Making
/ methods
Cost-Benefit Analysis
Evidence-Based Medicine
Female
Humans
Hypertension, Pulmonary
/ etiology
Infant, Extremely Premature
Infant, Newborn
Infant, Premature, Diseases
/ therapy
Intensive Care, Neonatal
/ methods
Male
Neonatology
/ methods
Nitric Oxide
/ therapeutic use
Practice Guidelines as Topic
Respiratory Insufficiency
/ etiology
United States
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
01 2019
01 2019
Historique:
received:
10
06
2018
accepted:
20
08
2018
revised:
27
07
2018
pubmed:
26
10
2018
medline:
21
3
2020
entrez:
25
10
2018
Statut:
ppublish
Résumé
We studied decision making regarding inhaled nitric oxide (iNO) in preterm infants with Pulmonary Hypertension (PH). We asked members of the AAP-Society of Neonatal-Perinatal Medicine and Division-Chiefs to select from three management options- initiate iNO, engage parents in shared decision making or not consider iNO in an extremely preterm with PH followed by rating of factors influencing their decision. Three hundred and four respondents (9%) completed the survey; 36.5% chose to initiate iNO, 42% to engage parents, and 21.5% did not consider iNO. Provider's prior experience, safety, and patient-centered care were rated higher by those who initiated or offered iNO; lack of effectiveness and cost considerations by participants who did not chose iNO. Most neonatologists offer or initiate iNO therapy based on their individual experience. The minority who chose not to consider iNO placed higher value on lack of effectiveness and cost. These results demonstrate a tension between evidence and pathophysiology-based-therapy/personal experience.
Identifiants
pubmed: 30353082
doi: 10.1038/s41372-018-0258-9
pii: 10.1038/s41372-018-0258-9
pmc: PMC6298829
mid: NIHMS1504342
doi:
Substances chimiques
Nitric Oxide
31C4KY9ESH
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
86-94Subventions
Organisme : NICHD NIH HHS
ID : R01 HD072929
Pays : United States
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