<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0124-0064</journal-id>
<journal-title><![CDATA[Revista de Salud Pública]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. salud pública]]></abbrev-journal-title>
<issn>0124-0064</issn>
<publisher>
<publisher-name><![CDATA[Instituto de Salud Publica, Facultad de Medicina - Universidad Nacional de Colombia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0124-00642021000100012</article-id>
<article-id pub-id-type="doi">10.15446/rsap.v23n1.89122</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Aspectos bioéticos en la decisión terapéutica del neonato prematuro extremo]]></article-title>
<article-title xml:lang="en"><![CDATA[Bioethical aspects in the therapeutic decisión of the extremely premature infant]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Barría-Pailaquilén]]></surname>
<given-names><![CDATA[Mauricio]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Burgos-Saelzer]]></surname>
<given-names><![CDATA[Cecilia B.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Triviño-Vargas]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Austral de Chile Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Valdivia ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Austral de Chile Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Valdivia ]]></addr-line>
<country>Chile</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Austral de Chile Facultad de Medicina ]]></institution>
<addr-line><![CDATA[Valdivia ]]></addr-line>
<country>Chile</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2021</year>
</pub-date>
<volume>23</volume>
<numero>1</numero>
<fpage>1</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0124-00642021000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0124-00642021000100012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0124-00642021000100012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El artículo plantea la problemática en la toma de decisiones terapéuticas frente al niño prematuro extremo, en particular, aquel de menos de 25 semanas de gestación, sometido a tecnología de soporte vital avanzado. Para ello, se tuvieron en cuenta tanto su pronóstico como las posibles secuelas. Expone la forma en que las decisiones pueden ser tomadas y la manera en que los actores se pueden involucrar. La perspectiva ética de los actos terapéuticos analiza los argumentos de calidad de vida y mejores intereses para el paciente. Adicionalmente, intenta analizar las repercusiones para la salud pública, centrándose particularmente en la asignación y distribución de recursos. Se concluye que la toma de decisiones no puede ser realizada aisladamente por el equipo de salud, sino que requiere de la participación de los padres. El uso desproporcionado de tecnología diagnóstica y terapéutica conllevaría para las niñas, niños y sus padres importantes cargas de sufrimiento y gastos tanto individuales como para el Estado. La calidad de vida debe ser ponderada y adoptada como criterio analizando el mejor interés para el niño, sus padres y la sociedad, en defensa del bien común y equidad.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT The article raises the issue of therapeutic decision-making in the face of extreme premature infants, particularly under 25 weeks of gestation, undergoing advanced life support technology. For this, their prognosis and possible sequelae were considered. It exposes the way in which decisions can be made and the actors involved. The ethical perspective of therapeutic acts analyzes the arguments of quality of life and best interests for the patient. Additionally, it attempts to analyze the repercussions for public health, focusing particularly on the allocation and distribution of resources. It is concluded that decision-making cannot be done in isolation by the health team but requires the participation of parents. The dis-proportionate use of diagnostic and therapeutic technology would lead girls, boys and their parents to significant burdens of suffering, individual and state expenses. The quality of life must be weighted and adopted as a criterion analyzing the best interest for the child, his parents and society, in defense of the common benefit and equity.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Calidad de vida]]></kwd>
<kwd lng="es"><![CDATA[niños con discapacidad]]></kwd>
<kwd lng="es"><![CDATA[bioética]]></kwd>
<kwd lng="es"><![CDATA[recién nacido prematuro]]></kwd>
<kwd lng="es"><![CDATA[salud pública]]></kwd>
<kwd lng="es"><![CDATA[toma de decisiones (fuente: DeCS, BIREME)]]></kwd>
<kwd lng="en"><![CDATA[Quality of life disabled children]]></kwd>
<kwd lng="en"><![CDATA[bioethics]]></kwd>
<kwd lng="en"><![CDATA[infant, premature]]></kwd>
<kwd lng="en"><![CDATA[public health]]></kwd>
<kwd lng="en"><![CDATA[decision making (source: MeSH, NLM)]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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