Department of Neonatal Medicine, Nippon Medical School Musashi Kosugi Hospital.
J Nippon Med Sch. 2021 Jan 8;87(6):334-338. doi: 10.1272/jnms.JNMS.2020_87-604. Epub 2020 Mar 31.
Transfer of infants who no longer need intensive or specialized care from tertiary to community hospitals or clinics contributes to efficient bed utilization in neonatal intensive care units (NICUs).
We retrospectively analyzed the records of all 1,503 infants admitted to our NICU during the 6-year period from April 2013 through March 2019 to evaluate the impact of interfacility neonatal transport for convalescent care.
During the study period, our NICU accepted 33 infants from other tertiary NICUs and transferred 103 infants to other hospitals or clinics before their home discharge for convalescent care. Our NICU covered 39% of the total hospital days of infants accepted from other NICUs. Among infants transferred to other facilities, 81% born at our hospital were born to mothers transported to our obstetrics department as imminent high-risk deliveries; 94% of infants born at other hospitals were moved back to the referring facility.
Interfacility neonatal transport for accepting and transferring infants for convalescent care is now an integral part of NICU practice, to bridge gaps between higher-level care facilities and homes. Establishment of well-defined transfer criteria and appropriate allocation of medical and staff resources among relevant facilities are desirable.
将不再需要重症或专科护理的婴儿从三级医院转移到社区医院或诊所，有助于提高新生儿重症监护病房（NICU）的床位利用率。
我们回顾性分析了 2013 年 4 月至 2019 年 3 月期间我院 NICU 收治的 1503 名婴儿的记录，以评估为康复护理进行的院际新生儿转运的影响。
在研究期间，我们的 NICU 从其他三级 NICU 接收了 33 名婴儿，并在出院前将 103 名婴儿转移到其他医院或诊所进行康复护理。我们的 NICU 承担了从其他 NICU 接收的婴儿总住院天数的 39%。在转往其他机构的婴儿中，81%在我院出生，其母亲是因高危情况紧急转入我院产科的；94%在其他医院出生的婴儿都被转回了转诊机构。
为了弥合高水平护理机构与家庭之间的差距，目前，接受和转院进行康复护理的院际新生儿转运已成为 NICU 实践的一个组成部分。建立明确的转院标准，并在相关机构之间合理分配医疗和人员资源是可取的。
