Chiu H S, Vogt J F, Chan L S, Rother C E
Perinatal Dispatch Center of Southern California, Pasadena 91101.
J Perinatol. 1993 Jul-Aug;13(4):288-96.
The development and implementation of neonatal intensive care services have been essential components of perinatal regionalization during the past two decades. The transport of critically ill infants to regional neonatal intensive care units has played an important role in improving neonatal outcome. This article presents a profile of Southern California's 10-year infant transport experience (1979 through 1988) in terms of the following indicators: transport volume, cross-county referrals, distance travelled, referral pattern, and birth weight pattern. Findings point to the necessity of focusing attention on several critical issues confronting Southern California's neonatal services in the 1990s. They include adequacy of tertiary or intermediate bed capacity in neonatal intensive care units; appropriateness of existing infant referral practices; impact of maternal-fetal transports; availability of financing resources; and overall differences in morbidity and mortality rates between transported and nontransported infants in subpopulations.
在过去二十年中，新生儿重症监护服务的发展与实施一直是围产期区域化的重要组成部分。将危重症婴儿转运至区域新生儿重症监护病房在改善新生儿结局方面发挥了重要作用。本文根据以下指标介绍了南加州10年（1979年至1988年）的婴儿转运经验：转运量、跨县转诊、行程距离、转诊模式和出生体重模式。研究结果表明，有必要关注20世纪90年代南加州新生儿服务面临的几个关键问题。这些问题包括新生儿重症监护病房三级或中级床位容量是否充足；现有婴儿转诊做法是否恰当；母婴转运的影响；融资资源的可用性；以及亚人群中转运婴儿和非转运婴儿在发病率和死亡率方面的总体差异。
