Lütfiye Nur Uzun, Birgül Cerit
Effect of postmortem care education using a creative drama method on nursing students' knowledge, skills, and satisfaction: A randomized controlled trial
Nurse education today
without surgical treatment neonatal hypoplastic left heart syndrome hlhs mortality first year life exceeds 90 spite improved surgical outcomes many families still opt nonsurgical management purpose study investigate trends neonatal hlhs management identify characteristics patients undergo surgical palliation neonates hlhs identified serial crosssectional analysis using healthcare cost utilization projects kids inpatient database 2000 2012 primary analysis compared children undergoing surgical palliation discharged alive without surgery using binary logistic regression model multivariate logistic regression conducted determine factors associated treatment choice total 1750 patients underwent analysis overall hospital mortality decreased 353 2000 229 2012 percentage patients undergoing comfort care discharge without surgery also decreased 212 148 controlling demographics comorbidities older patients presentation less likely undergo surgery 093 091096 patients 2012 likely undergo surgery compared prior years 15 1121 discharge without surgical intervention decreasing 30 reduction 2000 2012 given improvement surgical outcomes dialogue ethical justification nonoperative comfort palliative care warranted meantime clinicians present families surgical outcome data recommend intervention supporting option refuse