Harding J E, Morton S M
Department of Paediatrics, Univeristy of Auckland, New Zealand.
J Paediatr Child Health. 1994 Oct;30(5):389-92. doi: 10.1111/j.1440-1754.1994.tb00685.x.
This study aimed to clarify whether the adverse outcomes seen in babies transported between New Zealand Level III intensive care nurseries were due to the transport itself or to possible differences in care in different centres. The outcomes of 34 infants inborn at National Women's Hospital, Auckland but transported to other centres were compared with those of 68 matched controls inborn at the receiving centres and with 68 controls inborn and cared for at National Women's Hospital. Transport was associated with a transient (non-significant) deterioration in respiratory status but no increase in chronic lung disease. However, infants cared for elsewhere, whether transported or control, had more periventricular hemorrhage than Auckland babies (23% and 29% vs 15%, P = 0.03) and worse neurodevelopmental outcome (70% and 66% vs 88% of those whose outcomes were known were normal at follow up, P = 0.002). We conclude that differences in care between centres may be more important than the transport itself in determining the long-term outcome of transported neonates.
本研究旨在阐明在新西兰三级重症监护病房之间转运的婴儿所出现的不良后果，是由于转运本身，还是由于不同中心在护理方面可能存在的差异。将奥克兰国家妇女医院出生但被转运至其他中心的34名婴儿的结局，与接收中心出生的68名匹配对照婴儿以及在国家妇女医院出生并接受护理的68名对照婴儿的结局进行了比较。转运与呼吸状况的短暂（无统计学意义）恶化相关，但慢性肺病并未增加。然而，在其他地方接受护理的婴儿，无论是否经过转运，其脑室周围出血均比奥克兰的婴儿更多（分别为23%和29%，而奥克兰婴儿为15%，P = 0.03），并且神经发育结局更差（随访时结局已知的婴儿中，正常的比例分别为70%和66%，而奥克兰婴儿为88%，P = 0.002）。我们得出结论，在决定转运新生儿的长期结局方面，不同中心之间护理的差异可能比转运本身更为重要。
