本哈新生儿转运服务评估

Mostafa Mostafa, S. Abdelmaksoud, Osama Kotb
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摘要

研究目的:评估本哈市的新生儿转运服务,评估转运新生儿的转运结果以及导致转运结果不佳的风险因素。研究设计:前瞻性观察研究。研究结果危重新生儿的医院间转运是地区围产期护理的重要组成部分。它能使患病或早产新生儿得到具有适当专业水平的医务人员的最佳护理。新生儿入院年龄的中位数为 3 天,从 0.1 天到 25 天不等。性别方面,约三分之二为男性(61%)。出生体重中位数为 2.4 千克,从 1 千克到 4.6 千克不等。最常见的分娩方式是剖腹产(91%)。运送时间的中位数为 12 分钟,从 5 分钟到 70 分钟不等。约三分之二的产妇仅由医护人员陪同。结论 院间转运超低出生体重儿(VLBW)可能会导致其生理状况恶化,转运时间越长,恶化的可能性越大。在院间转运过程中加强体温调节可降低低出生体重儿生理状况恶化的几率。
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Assessment of The Neonatal Transport Service in Benha
Objectives : to evaluate neonatal transport service in Benha city to assess the outcome of transported newborn and the risk factors of poor outcome. Study Design: prospective observational study. Results: The inter-facility transport of critically ill newborns is an important part of regionalised perinatal care. It enables ill or preterm neonates to receive the best possible care from medical staff with an appropriate level of expertise. The median age on admission was 3 days, ranging from 0.1 to 25 days. The mean gestational age was 35 ±3. Regarding gender, about two-thirds were males (61%). The median birth weight was 2.4 kg, ranging from 1 – 4.6 kg. The most frequent mode of delivery was cesarean section (91%). The median transport duration was 12 minutes, ranging from 5 – 70 minutes. About two-thirds were accompanied by paramedical personnel only. Conclusion Interhospital transport of very low birth weight (VLBW) infants may cause deterioration in their physiologic status, the likelihood of which is increased with longer duration of transport. Better temperature regulation during interhospital transport may decrease the chances of deterioration in physiological status of low birth weight infants.
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