Journal of perinatology : official journal of the California Perinatal Association · 2016
Characteristics of neonatal transports in California.
СтатьяПоддержка NIH: внешняя программаПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод в очереди
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Akula V P, Gould J B, Kan P, Bollman L, Profit J, Lee H C
Аннотация
OBJECTIVE: To describe the current scope of neonatal inter-facility transports.
STUDY DESIGN: California databases were used to characterize infants transported in the first week after birth from 2009 to 2012.
RESULTS: Transport of the 22 550 neonates was classified as emergent 9383 (41.6%), urgent 8844 (39.2%), scheduled 2082 (9.2%) and other 85 (0.4%). In addition, 2152 (9.5%) were initiated for delivery attendance. Most transports originated from hospitals without a neonatal intensive care unit (68%), with the majority transferred to regional centers (66%). Compared with those born and cared for at the birth hospital, the odds of being transported were higher if the patient's mother was Hispanic, <20 years old, or had a previous C-section. An Apgar score <3 at 10 min of age, cardiac compressions in the delivery room, or major birth defect were also risk factors for neonatal transport.
CONCLUSION: As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area.
STUDY DESIGN: California databases were used to characterize infants transported in the first week after birth from 2009 to 2012.
RESULTS: Transport of the 22 550 neonates was classified as emergent 9383 (41.6%), urgent 8844 (39.2%), scheduled 2082 (9.2%) and other 85 (0.4%). In addition, 2152 (9.5%) were initiated for delivery attendance. Most transports originated from hospitals without a neonatal intensive care unit (68%), with the majority transferred to regional centers (66%). Compared with those born and cared for at the birth hospital, the odds of being transported were higher if the patient's mother was Hispanic, <20 years old, or had a previous C-section. An Apgar score <3 at 10 min of age, cardiac compressions in the delivery room, or major birth defect were also risk factors for neonatal transport.
CONCLUSION: As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area.