Fundingsrud Hans Petter, Kaaresen Per Ivar, Dahl Lauritz Bredrup
Barneavdelingen, Hammerfest sykehus, 9600 Hammerfest.
Tidsskr Nor Laegeforen. 2003 Jun 26;123(13-14):1849-51.
To explore the utilisation of neonatal care resources in the region.
Place of birth, unit of admission, ventilator treatment, total and "unnecessary" length of stay in a tertiary unit, and to which location the children were discharged, were recorded from medical records of sick newborns from Finnmark transferred to the University Hospital of North Norway during 1992-99.
255 newborns from Finnmark County were admitted to the University Hospital, of which 175 (69%) were delivered at the University Hospital. 70 (28%) were primarily admitted to an inappropriate level of care. 93% of preterms less than 32 weeks of gestational age and 85% of preterms at 32-35 weeks were transported inutero to the University Hospital. In 16% of hospital days at the University Hospital, the level of care was considered inappropriate. 50% of the children were discharged to hospitals in Finnmark County, while 41% went home directly. 58% of the preterms spent their last days in hospital in the neonatal care unit in Hammerfest.
Improvements could be made to the allocation of patients to appropriate level of care. Preterms less than 32 weeks are adequately selected for inutero transport. A higher proportion of large preterms should be delivered and treated at the neonatal care unit in Hammerfest.
探讨该地区新生儿护理资源的利用情况。
记录了1992年至1999年期间从芬马克转诊至挪威北部大学医院的患病新生儿的病历，包括出生地点、收治科室、呼吸机治疗情况、在三级医疗机构的总住院时间和“不必要”住院时间，以及患儿出院去向。
芬马克郡的255名新生儿被收治到该大学医院，其中175名（69%）在该大学医院出生。70名（28%）最初被收治到护理水平不适当的科室。孕周小于32周的早产儿中有93%以及孕周在32至35周的早产儿中有85%在宫内被转运至该大学医院。在该大学医院16%的住院日中，护理水平被认为不适当。50%的患儿出院后被送往芬马克郡的医院，而41%的患儿直接回家。58%的早产儿在哈默菲斯特的新生儿护理病房度过了他们在医院的最后时光。
在将患者分配到适当护理水平方面可以做出改进。孕周小于32周的早产儿在宫内转运的选择是合适的。孕周较大的早产儿应有更高比例在哈默菲斯特的新生儿护理病房出生和接受治疗。
