Hood J L, Cross A, Hulka B, Lawson E E
Crit Care Med. 1983 Jun;11(6):419-23. doi: 10.1097/00003246-198306000-00004.
This study was performed to determine the effectiveness of a hospital-based transport team in lowering mortality in newborns. The medical records of 603 outborn infants weighing from 500 to 2500 g and having primary respiratory disorders were reviewed. The infants were admitted to 1 of 3 regional neonatal centers between January 1, 1977 and September 30, 1980. The 2 centers without transport teams admitted 304 outborn infants, of whom 62 (20%) expired by 120 h of age. The center with a transport team admitted 184 team-transported infants and 115 nonteam-transported infants, of whom 38 (13%) expired by 120 h of age. Outborn infants admitted to the hospitals without a neonatal transport team had a 60% (p less than 0.01) greater mortality compared to those admitted to the hospital with a transport team. At the onset of intensive care, the babies transported to the nonteam hospitals had a greater incidence of hypothermia and acidosis which may be related to their increased mortality. We conclude that hospitals without the services of a neonatal transport team may have significantly more deaths among low birth weight infants with respiratory disease than comparable hospitals with neonatal transport teams.
本研究旨在确定医院转运团队在降低新生儿死亡率方面的有效性。回顾了603例出生体重在500至2500克之间且患有原发性呼吸系统疾病的外出生婴儿的病历。这些婴儿于1977年1月1日至1980年9月30日期间被收治到3个地区新生儿中心中的1个。没有转运团队的2个中心收治了304例外出生婴儿，其中62例（20%）在120小时龄时死亡。有转运团队的中心收治了184例由团队转运的婴儿和115例非团队转运的婴儿，其中38例（13%）在120小时龄时死亡。与收治到有转运团队医院的婴儿相比，收治到没有新生儿转运团队医院的外出生婴儿死亡率高60%（p<0.01）。在重症监护开始时，转运到没有团队医院的婴儿体温过低和酸中毒的发生率更高，这可能与他们死亡率增加有关。我们得出结论，与拥有新生儿转运团队的类似医院相比，没有新生儿转运团队服务的医院中，患有呼吸系统疾病的低出生体重婴儿的死亡人数可能显著更多。
