Aherne E, Hourihane J
Cork University Hospital, Wilton, Cork.
Ir Med J. 2009 Oct;102(9):288-90.
Most Irish paediatric tertiary care services are centralised in Dublin. Many children are transferred there each year from regional paediatric units around the country. We aimed to quantify and describe all children transferred from one regional tertiary hospital over a two year period. Seventy three out of 75 identified transfers were examined. Sixty nine transfers (94.5%) were sent to the major tertiary centre. Fifteen (20.5%) required intensive care services for transfer. Seventeen seriously ill neonates required transfer, however only 4 (23.5%) of those met both the criteria for and the availability of the National Neonatal Transfer Team (NNTT). Significant events during transfer were only documented in 3 cases. Most transfers arrived in Dublin outside normal working hours. Standards of documentation were found to be very inconsistent. In conclusion, a national transport service for all critically ill children is urgently needed in Ireland.
大多数爱尔兰儿科三级护理服务集中在都柏林。每年有许多儿童从全国各地的地区儿科单位被转诊到那里。我们旨在量化并描述一家地区三级医院在两年期间转诊的所有儿童情况。对75例已确定的转诊病例中的73例进行了检查。69例（94.5%）被送往主要的三级中心。15例（20.5%）在转诊时需要重症监护服务。17例重症新生儿需要转诊，但其中只有4例（23.5%）符合国家新生儿转运团队（NNTT）的标准且该团队有能力接收。只有3例记录了转诊期间的重大事件。大多数转诊在正常工作时间之外抵达都柏林。发现文件记录标准非常不一致。总之，爱尔兰迫切需要为所有危重症儿童提供全国性转运服务。
