[Skip to Navigation]
[Skip to Navigation Landing]
Views 2,076
Citations 0
Viewpoint
November 25, 2019

Moving Beyond Using the Term Poor Prognosis in Children With Severe Neurological Impairment: A Linguistic Shortcut Better Avoided

Author Affiliations
  • 1Treuman Katz Center for Pediatric Bioethics, Seattle Children's Hospital and Research Institute, Seattle, Washington
  • 2Division of Bioethics and Palliative Care, University of Washington School of Medicine, Seattle Children’s Hospital, Seattle
JAMA Pediatr. 2020;174(1):11-12. doi:10.1001/jamapediatrics.2019.4503

A baby is born prematurely at 23 weeks’ gestational age with many typical complications of extreme prematurity. At 47 weeks’ adjusted gestational age, she continues to receive ventilation, is fed through a nasal-duodenal tube, and has grade IV bilateral intraventricular hemorrhages resulting in global encephalomalacia. Her parents are counselled that she has a “poor prognosis” and a decision needs to be made about whether life-sustaining treatments should be continued or stopped.

Limit 200 characters
Limit 25 characters
Conflicts of Interest Disclosure

Identify all potential conflicts of interest that might be relevant to your comment.

Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.

Err on the side of full disclosure.

If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.

Not all submitted comments are published. Please see our commenting policy for details.

Limit 140 characters
Limit 3600 characters or approximately 600 words
    ×