Structure of causes of non-transportability of newborns

Abstract

Purpose: to analyze the structure of the reasons for non-transportability during pretransport therapy of newborns and its relationship with the outcomes of the hospital stage.Materials and methods. А cohort study of 604 cases of a transport team visits for 564 newborn hospitalized in medical organizations of the Sverdlovsk region. In the studied sample, according to the tactical decision of the transport team, subgroups of transportable (n=497) and non-transportable patients (n=46) were identified. Anamnesis data, the structure of the causes of non-transportability, and the outcomes of the hospital stage were analyzed.Results. Тhe main causes of non-transportability were respiratory failure (86.96%) and circulatory failure (43.48%), in 50% of cases a combination of two or more reasons was observed. The presence of two causes of non-transportability significantly increases the risk of death (RR=4.09 [2.01–8.32]) and 7-day mortality (RR=5.14 [1.78–14.85]). The combination of circulatory failure and respiratory failure significantly increases the risk of death (RR=7.76 [4.39–13.71]) and 7-day mortality (RR=12.2 [5.12–29.08]).Conclusion. Respiratory failure and circulatory failure predominate in the structure of the reasons for the non-transportability of newborns. The greatest growth of total and 7-day mortality is observed with a combination of respiratory failure and circulatory failure.