PEDIATRICS Vol. 99 No. 5 May 1997, pp. 753-754 (doi:10.1542/peds.99.5.753a)
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PEDIATRICS Vol. 99 No. 5 May 1997, pp. 753-754

Early Deaths in Chicago and New England

The first 20% of the full text of this article appears below.

To the Editor.

We applaud Meadow, Reimshisel, and Lantos'1 attention to mortality risk in extremely low birth weight (ELBW) infants and its ethical implications. The authors have emphasized that illness severity and risk of mortality among ELBW infants are not static. This has important implications for clinical decision-making, ethics, and health policy.

We have a number of concerns about the authors' analyses. The study population is drawn from 5 to 7 years ago in an era when surfactant was still an investigational therapy and high-frequency ventilation was not widely used. These and perhaps other technologies have resulted in significantly enhanced survival of ELBW infants in the current era. If there is better survival in this era, has there been a change in the timing of death and the . . . [Full Text of this Article]