Penticuff J H
University of Texas at Austin School of Nursing, Austin, USA.
Nurs Clin North Am. 1998 Jun;33(2):339-52.
This article presents an initial conceptualization of futility in neonatal intensive care in an attempt to stimulate thoughtful debate an further development of the concept. Futility is defined within the context of the infant's response to a trial of therapy for extreme prematurity. Substantial criteria for determining whether futility has been reached focus on whether the infant has sustained physiologic complications that have been shown in follow-up studies to be related to mortality and significant morbidity.
本文提出了新生儿重症监护中“无意义治疗”的初步概念，旨在引发深入思考的讨论，并推动这一概念的进一步发展。“无意义治疗”是在婴儿对极早产儿治疗试验的反应背景下定义的。确定是否达到“无意义治疗”的实质性标准集中在婴儿是否持续出现生理并发症，后续研究表明这些并发症与死亡率和严重发病率相关。
