Cusack Jonathan, Field David, Manktelow Bradley
Neonatal Unit, Kensington Building, Leicester Royal Infirmary, Infirmary Road, Leicester, UK.
Arch Dis Child Fetal Neonatal Ed. 2007 May;92(3):F181-4. doi: 10.1136/adc.2006.105098. Epub 2006 Nov 9.
Many changes have been made to the staffing and organisation of neonatal care in the UK in the past 10 years. This study assessed the extent to which these changes had affected the transfer of babies between different parts of the service.
Data from the Trent Neonatal Survey, an ongoing study of neonatal intensive care activity in the former Trent Health Region of the UK, were used to evaluate neonatal inter-hospital transfers over a 10-year period, from 1 January 1995 to 31 December 2004. The number of transfers and the types of transfer were analysed and trends in gestation and disease severity over the study period were assessed. Rates of "inappropriate transfer" were also identified.
8105 babies were transferred over the period; 2294 babies underwent urgent postnatal transfer and this equates to approximately two such transfers every three days. The maximum number of journeys by any one baby was eight. Intensive care activity rose during the 10 years but the number of inappropriate transfers remained persistently high.
Organisational changes in neonatal care during the 10-year period have been insufficient to deal with the rising demand, as reflected by the persistently high rate of inappropriate transfers.
在过去10年里，英国新生儿护理的人员配备和组织方式发生了许多变化。本研究评估了这些变化对婴儿在不同医疗服务部门之间转运的影响程度。
来自特伦特新生儿调查的数据被用于评估1995年1月1日至2004年12月31日这10年间的新生儿院际转运情况。特伦特新生儿调查是一项对英国前特伦特健康区域内新生儿重症监护活动的持续性研究。分析了转运数量和转运类型，并评估了研究期间的孕周和疾病严重程度趋势。还确定了“不适当转运”的发生率。
在此期间有8105名婴儿被转运；2294名婴儿在出生后接受了紧急转运，这相当于每三天就有大约两例这样的转运。任何一名婴儿的最大转运次数为8次。在这10年中，重症监护活动有所增加，但不适当转运的数量一直居高不下。
10年间新生儿护理的组织变革不足以应对不断增长的需求，不适当转运的持续高发生率就反映了这一点。
