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新生儿经陆路长时间院间转运:与发展中国家相关。

Prolonged neonatal interhospital transport on road: relevance for developing countries.

机构信息

Rainbow Children's Hospital and Perinatal Centre, Banjara Hills, Hyderabad, India.

出版信息

Indian J Pediatr. 2010 Feb;77(2):151-4. doi: 10.1007/s12098-009-0336-2. Epub 2010 Jan 26.

DOI:10.1007/s12098-009-0336-2
PMID:20101478
Abstract

OBJECTIVE

To compare prolonged inter hospital long distance transports on road undertaken by a qualified transport team vs those done by the same team from shorter distances and time.

METHODS

Retrospective descriptive comparative study of the neonatal transports done during a period of 48 mo. All neonates transferred on road to a tertiary level pediatric hospital from various maternity and pediatric centers. The biochemical characteristics, adverse effects during transport and 24 hr survival after the transport in both the groups were compared.

RESULTS

The babies were comparable in their gestational age and ventilatory requirements (46% vs 39%). The biochemical and metabolic characteristics and 24 hr mortality rates for babies who were transported for longer times and distances were comparable (p value =0.75) to those transported for shorter times.

CONCLUSION

Long distance neonatal transport on road is feasible and with a qualified team results can be comparable to those transported from shorter distances.

摘要

目的

比较由合格的转运团队进行的长途和长时间的院间道路转运与进行较短距离和时间的转运。

方法

对 48 个月期间进行的新生儿转运进行回顾性描述性比较研究。所有通过道路转送至三级儿科医院的新生儿均来自各个妇产科和儿科中心。比较两组转运过程中的生化特征、转运过程中的不良反应以及转运后 24 小时的存活率。

结果

两组婴儿在胎龄和通气需求方面具有可比性(46%比 39%)。在生化和代谢特征以及转运后 24 小时的死亡率方面,长时间和长距离转运的婴儿与短时间转运的婴儿相比无显著差异(p 值=0.75)。

结论

道路长途新生儿转运是可行的,并且由合格的团队进行的结果可以与较短距离转运的结果相媲美。

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Cochrane Database Syst Rev. 2015 Oct 28;2015(10):CD007485. doi: 10.1002/14651858.CD007485.pub2.
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Duration of inter-facility neonatal transport and neonatal mortality: systematic review and cohort study.医疗机构间新生儿转运时长与新生儿死亡率:系统评价与队列研究
Pediatr Int. 2007 Aug;49(4):452-8. doi: 10.1111/j.1442-200X.2007.02393.x.
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Pretransport and posttransport characteristics and outcomes of neonates who were admitted to a cardiac intensive care unit.
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Health SA. 2021 Oct 28;26:1562. doi: 10.4102/hsag.v26i0.1562. eCollection 2021.
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Transport characteristics and predictors of mortality among neonates referred to a tertiary care centre in North India: a prospective observational study.印度北部一家三级护理中心转诊新生儿的转运特征和死亡预测因素:一项前瞻性观察研究。
BMJ Open. 2021 Jul 6;11(7):e044625. doi: 10.1136/bmjopen-2020-044625.
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The Transport and Outcome of Sick Outborn Neonates Admitted to a Regional and District Hospital in the Upper West Region of Ghana: A Cross-Sectional Study.加纳上西部地区一家地区和区级医院收治的外地患病新生儿的转运与结局:一项横断面研究。
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Regionalized neonatal emergency transport.区域化新生儿紧急转运
Semin Neonatol. 2004 Apr;9(2):125-33. doi: 10.1016/j.siny.2003.08.007.
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Towards safer neonatal transfer: the importance of critical incident review.迈向更安全的新生儿转运:危重症事件审查的重要性。
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6
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Contemporary neonatal transport: problems and solutions.当代新生儿转运:问题与解决方案。
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