新生儿通过智能手机应用程序研究转移和检索环境应激原-Light。
NeoSTRESS: Study of Transfer and Retrieval Environmental StressorS Upon Neonates via a Smartphone Application-Light.
机构信息
Department of Neonatology, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia; School of Clinical Medicine, Royal Brisbane Clinical Unit, University of Queensland, Herston, Queensland, Australia.
Faculty of Science and Engineering, School of Chemistry, Physics and Mechanical Engineering, Queensland University of Technology, Brisbane City, Queensland, Australia.
出版信息
Air Med J. 2020 Mar-Apr;39(2):97-102. doi: 10.1016/j.amj.2019.07.015. Epub 2019 Oct 25.
OBJECTIVE
This study aimed to measure the light levels neonates would be exposed to during retrieval, determine whether this varied with transport mode, and compare them with recommended light exposure in neonatal intensive care units. We also aimed to determine the ease of use and acceptability of using the smartphone application.
SETTING
A neonatal retrieval service in Brisbane, Australia.
METHODS
This prospective study used the calibrated smartphone application Physics Toolbox Sensor Suite (Vieyra Software, Washington, DC). Data were collected during the outbound, nonpatient leg of 45 retrievals (25 road, 11 fixed wing aircraft, and 9 rotary aircraft journeys). Data were saved to Cloud storage and then analyzed using the PostgreSQL database.
RESULTS
The median illuminance was 6 lux (interquartile range [IQR], 1-58). The maximum recorded was 93,842 lux. The median illuminance during daytime journeys was 15 lux (IQR, 2-77). The median light level for night journeys was 1 lux (IQR, 0.5-8). Illuminance exceeded the recommended level (600 lux) for 2.1% of all journey time.
CONCLUSION
Retrieved neonates can be exposed to light in excess of recommended neonatal intensive care unit levels, including extremely bright light. It is feasible, with good staff acceptability, for a calibrated smartphone application to be used in place of a light meter.
目的
本研究旨在测量新生儿在复苏过程中所接受的光照水平，确定其是否因转运方式而有所不同，并与新生儿重症监护病房的推荐光照暴露水平进行比较。我们还旨在确定使用智能手机应用程序的易用性和可接受性。
地点
澳大利亚布里斯班的新生儿转运服务。
方法
这是一项前瞻性研究，使用了经过校准的智能手机应用程序 Physics Toolbox Sensor Suite（Vieyra Software，华盛顿特区）。在 45 次转运的非患者腿部分（25 次道路转运、11 次固定翼飞机转运和 9 次旋转翼飞机转运）中收集数据。数据保存到云存储中，然后使用 PostgreSQL 数据库进行分析。
结果
中位数光照度为 6 勒克斯（四分位间距 [IQR]，1-58）。记录的最大值为 93842 勒克斯。日间转运的中位数光照度为 15 勒克斯（IQR，2-77）。夜间转运的中位数光照度为 1 勒克斯（IQR，0.5-8）。光照度超过推荐水平（600 勒克斯）的时间占总转运时间的 2.1%。
结论
转运的新生儿可能会暴露在超过推荐的新生儿重症监护病房水平的光照下，包括极亮的光。经过校准的智能手机应用程序可以代替光度计使用，具有良好的员工可接受性。
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