Harding J E, Morton S M
Department of Paediatrics, University of Auckland, New Zealand.
J Paediatr Child Health. 1993 Apr;29(2):146-9. doi: 10.1111/j.1440-1754.1993.tb00469.x.
The effect of neonatal transport between level III intensive care nurseries was studied by comparing the outcome of 40 infants inborn at a regional level III centre but transported to other level III nurseries for intensive care, with 80 matched inborn controls. Transport appeared to affect respiratory status adversely but transiently. However, transported infants grew less well than control infants (32% were below 3rd centile for weight at 36 weeks vs 15% of controls), were more likely to suffer periventricular haemorrhage (40 vs 21% of controls) and had a worse neurodevelopmental outcome (70% normal at follow up vs 83% of controls). It can be concluded that for infants inborn at the National Women's Hospital, Auckland, transport to another level III centre for intensive care is associated with an increased risk of adverse outcome.
通过比较40名在地区三级中心出生但被转运至其他三级重症监护病房接受重症监护的婴儿与80名匹配的在院出生对照婴儿的结局，研究了三级重症监护病房之间新生儿转运的影响。转运似乎对呼吸状况有不利但短暂的影响。然而，转运婴儿的生长情况不如对照婴儿（36周时32%的婴儿体重低于第3百分位，而对照婴儿为15%），更易发生脑室周围出血（40% vs对照婴儿的21%），且神经发育结局更差（随访时70%正常，而对照婴儿为83%）。可以得出结论，对于在奥克兰国家妇女医院出生的婴儿，转运至另一个三级中心接受重症监护会增加不良结局的风险。
