新生儿重症监护病房向儿科重症监护病房的转科影响。

The impact of transfers from neonatal intensive care to paediatric intensive care.

机构信息

Department of Women and Children's Health, School of Life Course Sciences, Faculty of Life Sciences and Medicine, King's College London, London, UK.

Paediatric Intensive Care Centre, King's College Hospital NHS Foundation Trust, London, UK.

出版信息

J Perinat Med. 2021 Feb 8;49(5):630-631. doi: 10.1515/jpm-2021-0022. Print 2021 Jun 25.

DOI:10.1515/jpm-2021-0022

PMID:33544995

Abstract

OBJECTIVES

Infants receiving care from neonatal intensive care unit (NICU) can develop chronic problems and be transferred to a paediatric intensive care unit (PICU) for on-going care. There is concern that such infants may take up a large amount of PICU resource, but this is not evidence based. We determined the impact of such transfers.

METHODS

We reviewed 10 years of NICU admissions to two tertiary PICUs, which had approximately 12,000 admissions during that period.

RESULTS

Sixty-seven infants, gestational age at birth 34.7 (IQR 27.1-38.8) weeks and postnatal age on transfer 81 (IQR 9-144) days were admitted from NICUs. The median (IQR) length of stay was 12 (4-41) days. The 19 infants born <28 weeks of gestation had a greater median length of stay (32, range IQR 10-93 days) than more mature born infants (7.5, IQR 4-26 days) (p=0.003). The median cost of PICU stay for NICU transfers was £23,800 (range 1,205-1,034,000) per baby. The total cost of care for infants transferred from NICUs was £6,457,955.

CONCLUSIONS

Infants transferred from NICUs were a small proportion of PICU admissions but, particularly those born <28 weeks of gestation, had prolonged stays which needs to be considered when determining bed capacity.

摘要

目的

在新生儿重症监护病房（NICU）接受治疗的婴儿可能会出现慢性问题，并被转至儿科重症监护病房（PICU）接受持续治疗。人们担心这些婴儿可能会占用大量 PICU 资源，但这尚未得到证实。我们确定了这种转院的影响。

方法

我们回顾了两家三级 PICU 10 年来的 NICU 入院情况，这期间 PICU 共收治了约 12000 名患儿。

结果

从 NICU 转来的 67 名婴儿，胎龄为 34.7 周（IQR 27.1-38.8），转院时的新生儿年龄为 81 天（IQR 9-144）。中位（IQR）住院时间为 12 天（4-41 天）。19 名胎龄<28 周的婴儿的中位住院时间（32 天，IQR 10-93 天）长于胎龄较大的婴儿（7.5 天，IQR 4-26 天）（p=0.003）。NICU 转来的 PICU 患儿的中位 PICU 住院费用为 23800 英镑（范围 1205-1034000 英镑）。从 NICU 转来的患儿的总治疗费用为 6457955 英镑。