加利福尼亚州新生儿转运的特点。
Characteristics of neonatal transports in California.
作者信息
Akula V P, Gould J B, Kan P, Bollman L, Profit J, Lee H C
机构信息
Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital, Palo Alto, CA, USA.
California Perinatal Transport System, Palo Alto, CA, USA.
出版信息
J Perinatol. 2016 Dec;36(12):1122-1127. doi: 10.1038/jp.2016.102. Epub 2016 Sep 29.
OBJECTIVE
To describe the current scope of neonatal inter-facility transports.
STUDY DESIGN
California databases were used to characterize infants transported in the first week after birth from 2009 to 2012.
RESULTS
Transport of the 22 550 neonates was classified as emergent 9383 (41.6%), urgent 8844 (39.2%), scheduled 2082 (9.2%) and other 85 (0.4%). In addition, 2152 (9.5%) were initiated for delivery attendance. Most transports originated from hospitals without a neonatal intensive care unit (68%), with the majority transferred to regional centers (66%). Compared with those born and cared for at the birth hospital, the odds of being transported were higher if the patient's mother was Hispanic, <20 years old, or had a previous C-section. An Apgar score <3 at 10 min of age, cardiac compressions in the delivery room, or major birth defect were also risk factors for neonatal transport.
CONCLUSION
As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area.
目的
描述当前新生儿机构间转运的范围。
研究设计
利用加利福尼亚州的数据库对2009年至2012年出生后第一周内转运的婴儿进行特征分析。
结果
22550例新生儿的转运分类为：紧急转运9383例（41.6%）、紧急但非即刻转运8844例（39.2%）、计划转运2082例（9.2%）以及其他85例（0.4%）。此外，2152例（9.5%）转运是为了接生。大多数转运起始于没有新生儿重症监护病房的医院（68%），大部分被转至区域中心（66%）。与在出生医院出生并接受护理的婴儿相比，如果患者母亲是西班牙裔、年龄小于20岁或曾行剖宫产，其被转运的几率更高。出生后10分钟阿氏评分<3分、在产房进行心脏按压或存在重大出生缺陷也是新生儿转运的危险因素。
结论
由于许多新生儿在出生后第一周内接受转运，该领域可能存在质量改进活动的机会。
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