Romanzeira Juliana C F, Sarinho Silvia W
Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
Universidade Federal de Pernambuco (UFPE), Recife, PE, Brazil.
J Pediatr (Rio J). 2015 Jul-Aug;91(4):380-5. doi: 10.1016/j.jped.2014.10.006. Epub 2015 Apr 23.
To assess the quality of neonatal transport performed by the Mobile Emergency Medical Services (Serviço de Atendimento Móvel de Urgência [SAMU]).
This was a cross-sectional before-and-after observational study. The study was carried out from March to August of 2013 using a validated instrument, the Transport Risk Index of Physiologic Stability (TRIPS), to assess the characteristics of the newborn, medical and mechanical complications (equipment and ambulance), and stability of newborns before and after transport. Tests were conducted with 95% confidence level. Numerical variables are represented by measures of central tendency and dispersion. Categorical variables were compared by Fisher's exact test. In the comparison of variables between the groups, the Student's t-test was used for variables with normal distribution, Fisher exact test, when appropriate, and the Mann-Whitney test, for non-normal distribution.
33 newborns were transported from low-risk units to neonatal intensive care units. Male gender (57.6%) and full-term gestational age (63.6%) were more prevalent. Birth weight<2,500g was found in 39.4% of newborns. Respiratory failure accounted for 42.4% of the requests. The mean transport time was 58 minutes without medical or mechanical complications. The TRIPS score worsened in 15% of neonates; in this group of infants, the mean initial temperature of 36.46±0.19 decreased significantly to 36.08±0.22 (p=0.041).
The transport performed by the SAMU was adequate for most newborns. The oscillation in body temperature was the only significant variable for the alteration in the TRIPS score.
评估移动紧急医疗服务（紧急医疗移动服务[SAMU]）所进行的新生儿转运质量。
这是一项前后对照的横断面观察性研究。该研究于2013年3月至8月开展，使用经过验证的工具——生理稳定性转运风险指数（TRIPS），来评估新生儿的特征、医疗和机械并发症（设备及救护车）以及转运前后新生儿的稳定性。测试的置信水平为95%。数值变量用集中趋势和离散度指标表示。分类变量通过Fisher精确检验进行比较。在组间变量比较中，对于呈正态分布的变量使用学生t检验，在适当情况下使用Fisher精确检验，对于非正态分布的变量使用Mann-Whitney检验。
33名新生儿从低风险单位转运至新生儿重症监护病房。男性（57.6%）和足月儿（63.6%）更为常见。39.4%的新生儿出生体重<2500g。呼吸衰竭占转运请求的42.4%。平均转运时间为58分钟，未出现医疗或机械并发症。15%的新生儿TRIPS评分恶化；在这组婴儿中，平均初始体温36.46±0.19显著降至36.08±0.22（p = 0.041）。
SAMU所进行的转运对大多数新生儿来说是足够的。体温波动是导致TRIPS评分改变的唯一显著变量。
