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Survival in trisomy 13 and trisomy 18 cases ascertained from population based registers
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  • Published on: 27 April 2016
    Authors Reply

    Dear Editor

    One of the interesting findings in this study is the lack of a change in length of survival over the study period. It appears that modern intensive care has not made any impact. Indeed, rapid and accurate diagnosis with early withdrawal of care following discussion with the parents may reduce the survival period. It is interesting that, Dr Rassmusen from the CDC in Atlanta presented new population based dat...

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    Conflict of Interest:
    None declared.
  • Published on: 27 April 2016
    Survival in trisomy 13

    Dear Editor

    No doubt the standards of care vary with time, location, and affordability. I described (with my colleagues) a patient with 13 trisomy who had a long survival the last time I saw her in 1995, 12 years (see Delaware Med J 1985;57:629-634 and Delaware Med J 1987;59:105-106, also see www.wiley.com/borgaonkar). We also have...

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    Conflict of Interest:
    None declared.
  • Published on: 27 April 2016
    Does the survival data on trisomy 13 and 18 take into account influencs of modern interventions?

    Dear Editor

    Many articles written on the age of survival of babies with trisome 13 and 18 fail to factor in the influence of modern intensive care treatment modalities.

    Use of artificial respirators, suctioning of respiratory secretons coupled with supplemental oxygen and nasogastric tube feedings may prolong survival.For the survivors beyond 7-10 days, it has become routine to feed these babies with tube f...

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    Conflict of Interest:
    None declared.