Jung A L, Bose C L
Pediatrics. 1983 Jun;71(6):918-22.
Neonatal back transport is defined as the return of previously critically ill neonates from Level III newborn intensive care units to Level II and Level I nurseries for intermediate and/or convalescing care. During 1980, 172 infants (65% of eligible infants) were back transported from a Level III nursery to both Level I and Level II community hospitals. Infants who were returned to Level II hospitals tended to be smaller at the time of transfer, were less frequently nipple fed, and more frequently required oxygen supplementation compared with infants returned to Level I hospitals. Back transport permitted physicians to defer 3,892 days of hospitalization for these infants to community hospitals, an equivalent savings of approximately ten hospital beds at full occupancy. This resulted in a 44% reduction in the need for services in the newborn intensive care unit. Back transport is an efficient means of dealing with overcrowding of Level III nurseries.
新生儿转回是指将先前病情危急的新生儿从三级新生儿重症监护病房转回二级和一级护理病房进行中期和/或康复护理。1980年期间，172名婴儿（占符合条件婴儿的65%）从三级护理病房转回一级和二级社区医院。与转回一级医院的婴儿相比，转回二级医院的婴儿在转院时往往体重更小，较少通过奶瓶喂养，且更频繁地需要吸氧。转回使得医生能够将这些婴儿在医院的住院天数推迟3892天至社区医院，相当于在满负荷运转时节省了约十张病床。这使得新生儿重症监护病房的服务需求减少了44%。新生儿转回是应对三级护理病房过度拥挤的一种有效方式。
