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1992 - 1993年英国的新生儿重症监护服务。英国围产医学协会。

Neonatal intensive care provision in the United Kingdom 1992-3. British Association of Perinatal Medicine.

作者信息

Milligan D W

机构信息

Newcastle Neonatal Service, Royal Victoria Infirmary, Newcastle upon Tyne.

出版信息

Arch Dis Child Fetal Neonatal Ed. 1997 May;76(3):F197-200. doi: 10.1136/fn.76.3.f197.

DOI:10.1136/fn.76.3.f197
PMID:9175952
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1720648/
Abstract

Medical neonatal units in the United Kingdom were surveyed in 1994 to determine for 1992-3 the number of cots, medical and nursing staff, workload, the ability of units to retrieve data and to assess any changes that might have occurred since the NHS reforms. There was an 84% response rate. Many units were unable to provide workload and birthweight specific information. Cot occupancy, and there-fore the exposure of individual neonatal nurses to babies requiring intensive care, increased in direct proportion to unit workload. In spite of this a third of all neonatal intensive care, even for babies of < 100 g, is provided by units with ventilator workloads of 50 or fewer babies a year. There was a 25% increase in intensive care level 1 (ICL1) cot provision between 1989 and 1993, but no change in the total number of cots. Consistent maintenance of a common dataset by all units undertaking neonatal intensive care would do much to assist future planning.

摘要

1994年,英国对各新生儿医疗单位进行了调查,以确定1992 - 1993年期间的婴儿床数量、医护人员数量、工作量、各单位检索数据的能力,并评估自英国国家医疗服务体系(NHS)改革以来可能发生的任何变化。回应率为84%。许多单位无法提供工作量和出生体重的具体信息。婴儿床占用情况,以及由此导致的新生儿护士接触需要重症监护婴儿的情况,与单位工作量成正比增加。尽管如此,所有新生儿重症监护病例的三分之一,甚至是体重不足100克的婴儿的重症监护,是由每年呼吸机工作量为50例或更少婴儿的单位提供的。1989年至1993年间,一级重症监护(ICL1)婴儿床的配备增加了25%,但婴儿床总数没有变化。所有进行新生儿重症监护的单位持续维护一个通用数据集,将对未来的规划有很大帮助。

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本文引用的文献

1
Changing prognosis for babies of less than 28 weeks' gestation in the north of England between 1983 and 1994. Northern Neonatal Network.1983年至1994年间英格兰北部孕周小于28周婴儿的预后变化。北部新生儿网络。
BMJ. 1997 Jan 11;314(7074):107-11. doi: 10.1136/bmj.314.7074.107.
2
Neonatal intensive care cots: estimating the population based requirement in Trent, UK.新生儿重症监护病床:估算英国特伦特地区的人口需求
J Epidemiol Community Health. 1995 Dec;49(6):617-28. doi: 10.1136/jech.49.6.617.