Arrøe M, Steensgård J, Greisen G
H:S Rigshospitalet, Neonatalklinikken.
Ugeskr Laeger. 2001 Feb 19;163(8):1093-7.
Neonatal transport is difficult and often associated with problems. In 1998, the Neonatal Intensive Care Unit, University Hospital of Copenhagen, H:S Rigshospitalet, set up a neonatal transport team. The aim of this study was to assess whether a better quality of high risk transport could justify the increased consumption of time.
The schedules for observation and assessment filled in by the transport team were collected and compared with records of the transport of high-risk neonates by local transport. The comparison consisted in the number of infants, severity of the problems, interventions carried out either locally or after arrival at the Neonatal Intensive Care Unit, and the condition of the infants judged on the pH, blood sugar level, blood pressure, and body temperature.
The neonatal transport team fetched 68 high-risk infants, whereas 140 high-risk infants were brought by local transport. Infants fetched by the transport team were more sick, both before and during transport, than those brought to us. On arrival at the Neonatal Intensive Care Unit, more infants brought by local transport had problems (31% vs 16%): 12 (9%) transports had more than one critical problem, in contrast to none of the infants fetched by the transport team. The transport team carried out 71 interventions on 44 of the 68 infants (65%). These interventions explain the better condition of the infants on arrival. Acute interventions soon after arrival at the Neonatal Intensive Care Unit were carried out on 91 of the 140 infants brought by local transport (65%).
Neonatal transport of extremely ill infants is difficult. A specialised (transport) team with local stabilisation and transport reduces the frequency of complications. The number of high-risk neonates transported is so small that it is improbable that adequate expertise can be built up and maintained locally.
新生儿转运困难且常伴有问题。1998年，哥本哈根大学医院H:S Rigshospitalet的新生儿重症监护病房成立了一个新生儿转运团队。本研究的目的是评估更高质量的高风险转运是否能证明增加的时间消耗是合理的。
收集转运团队填写的观察和评估时间表，并与当地转运高危新生儿的记录进行比较。比较内容包括婴儿数量、问题的严重程度、在当地或到达新生儿重症监护病房后进行的干预措施，以及根据pH值、血糖水平、血压和体温判断的婴儿状况。
新生儿转运团队接回68名高危婴儿，而当地转运送来140名高危婴儿。转运团队接回的婴儿在转运前和转运期间都比送来我们这里的婴儿病情更重。到达新生儿重症监护病房时，当地转运送来的婴儿有更多问题（31%对16%）：12次（9%）转运有不止一个关键问题，而转运团队接回的婴儿没有一个出现这种情况。转运团队对68名婴儿中的44名（65%）进行了71次干预。这些干预措施解释了婴儿到达时状况较好的原因。在当地转运送来的140名婴儿中，有91名（65%）在到达新生儿重症监护病房后不久进行了急性干预。
极危重病婴儿的新生儿转运很困难。一个具备当地稳定病情和转运能力的专业（转运）团队可降低并发症的发生率。转运的高危新生儿数量很少，以至于在当地积累和维持足够的专业知识不太可能。
