Evaluation of Neonatal Transport in Western Switzerland: A Model of Perinatal Regionalization.

IF 1.7 Q2 PEDIATRICS

Clinical Medicine Insights-Pediatrics Pub Date : 2017-05-17 eCollection Date: 2017-01-01 DOI:10.1177/1179556517709021

Caitriona Gilleece McEvoy, Emilienne Descloux, Mirjam Schuler Barazzoni, Corinne Stadelmann Diaw, Jean-François Tolsa, Matthias Roth-Kleiner

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引用次数: 16

Abstract

Neonatal transport is an essential part of regionalization for highly specialized neonatal intensive care. This retrospective analysis of prospectively collected data on neonatal transport activity in a large Swiss perinatal network more than 1 year, aimed to quantify this activity, to identify the needs for staff, and the demands regarding know-how and equipment. Of the 565 admissions to the tertiary neonatology clinic, 176 (31.2%) were outborn patients, transported as emergencies to the level III unit. In 71.6% of cases, respiratory insufficiency was one of the reasons for transfer. Circadian and weekly distribution showed increased transport activity on workdays between 8 am and 10 pm, but regular demands for emergency transports regardless of the time frame require a neonatal transport team available 24/7. This study highlights the importance of neonatal transport and unveils several functional and infrastructural insufficiencies, which led to suggestions for improvement.

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瑞士西部新生儿运输评估:围产期区域化模型。

新生儿运输是高度专业化的新生儿重症监护区域化的重要组成部分。本研究回顾性分析了瑞士一个大型围产期网络1年多来前瞻性收集的新生儿转运活动数据，旨在量化这一活动，确定对工作人员的需求，以及对专业知识和设备的需求。在三级新生儿门诊的565名入院患者中，176名(31.2%)为早产患者，作为急诊被送往三级病房。71.6%的病例中，呼吸功能不全是转移的原因之一。昼夜节律和每周分布表明，工作日上午8点至晚上10点之间的运输活动增加，但无论何时对紧急运输的常规需求都需要新生儿运输小组全天候待命。这项研究强调了新生儿运输的重要性，并揭示了几个功能和基础设施的不足，从而提出了改进建议。

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来源期刊

Clinical Medicine Insights-Pediatrics PEDIATRICS-

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8 weeks