Critically ill neonates displayed stable vital parameters and reduced metabolic acidosis during neonatal emergency airborne transport in Sweden

Frid, Ingrid; Ågren, Johan; Kjellberg, Mattias; Normann, Erik; Sindelar, Richard

doi:10.1111/apa.14295

Cited by 8 publications

(6 citation statements)

References 25 publications

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“…This finding is not unexpected given that these infants are likely to be more ill. Other variables associated with illness severity, such as transports by helicopter and emergent transports, were also associated with increased risk of clinical deterioration. A recent study of neonates in Sweden found no significant change in Ca-TRIPS scores before and after acute airborne transports [17], which contrasts with our findings. This difference may reflect differences in our study population and illness severity, in addition to a larger transport volume.…”

Section: Discussioncontrasting

confidence: 99%

Clinical deterioration during neonatal transport in California

et al. 2019

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Objective Identify clinical factors, transport characteristics and transport time intervals associated with clinical deterioration during neonatal transport in California. Study design Population-based database was used to evaluate 47,794 infants transported before 7 days after birth from 2007 to 2016. Log binomial regression was used to estimate relative risks.Results 30.8% of infants had clinical deterioration. Clinical deterioration was associated with prematurity, delivery room resuscitation, severe birth defects, emergent transports, transports by helicopter and requests for delivery room attendance. When evaluating transport time intervals, time required for evaluation by the transport team was associated with increased risk of clinical deterioration. Modifiable transport intervals were not associated with increased risk. Conclusion Our results suggest that high-risk infants are more likely to be unstable during transport. Coordination and timing of neonatal transport in California appears to be effective and does not seem to contribute to clinical deterioration despite variation in the duration of these processes.

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Section: Discussioncontrasting

confidence: 99%

Clinical deterioration during neonatal transport in California

et al. 2019

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“…The results of the study by Henry and Trotman (2017) on neonatal transport in Jamaica showed that male patients predominated, the average gestational age was 34.9 weeks and birth weight was 2.3 kg [21]. The research carried out by Frid et al (2018) conducted in Sweden on the basis of the analysis of 187 emergency air transports (acute airborne transports) showed that the average gestational age of the transported babies was 35 weeks (range: 22-42 weeks), and their birth weight was 2627 g (467-5300 g) [22].…”

Section: Discussionmentioning

confidence: 98%

“…The most common reason for transporting patients in incubators by Medical Air Rescue crews in the analyzed material were congenital heart malformations. On the other hand, the study carried out by Frid et al (2018) showed that the main indications for neonatal transport were therapeutic hypothermia after perinatal asphyxia, extremely preterm birth and respiratory failure [22]. Additionally, in Henry and Trotman's study (2017), more than half of all neonatal transports were due to respiratory disorders [21].…”

Section: Discussionmentioning

confidence: 99%

Neonatal Transport in the Practice of the Crews of the Polish Medical Air Rescue: A Retrospective Analysis

Rzońca

Świeżewski

Gałązkowski

et al. 2020

IJERPH

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The aim of the study was to present characteristics of patients transported in incubators by crews of Helicopter Emergency Medical Service (HEMS) and Emergency Medical Service (EMS) of the Polish Medical Air Rescue as well as the character of their missions. The study was based on the method of retrospective analysis of neonatal transports with the use of transport incubators by the crews of HEMS and EMS of the Polish Medical Air Rescue. The study covered 436 medical and rescue transports of premature babies and full-term newborns in the period between January 2012 and December 2018. The study group consisted mainly of male patients (55.05%) who, on the basis of the date of delivery, were qualified as full-term newborns (54.59%). During the transport their average age was 37.53 (standard deviation, SD 43.53) days, and their average body weight was 3121.18 (SD 802.64) grams. A vast majority of neonatal transports were provided with the use of a plane (84.63%), and these were medical transports (79.36%). The average transport time was 49.92 (SD 27.70) minutes with the average distance of 304.27 km (SD 93.05). Significant differences between premature babies and full-term newborns were noticed in terms of age and body weight at the moment of transport, diagnosis based on the International Statistical Classification of Diseases and Related Health Problems (ICD-10), the most commonly used medications (prostaglandin E1, glucose, furosemide, vitamins), National Advisory Committee for Aeronautics (NACA) scale rate as well as the mission type and the presence of an accompanying person.

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“…In 2018, Frid et al published different results, showing that extreme prematurity (22%), neonatal asphyxia requiring hypothermia (22%), and respiratory distress (16.0%) were the most common problems for which NETs were performed 22 .…”

Section: Discussionmentioning

confidence: 99%

Observational study on the efficiency of Neonatal Emergency Transport in reducing mortality and morbidity indexes in Sicily

Falsaperla¹,

Vitaliti²,

Amato³

et al. 2021

Sci Rep

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In these last 25 years, the Neonatal Emergency Transport (NET) service has been widely improved in Italy. To date, all National areas are covered by a NET service; 53 NET centers have been activated in all the Italian territory. Herein, the authors present an observational study to evaluate the rate of infantile mortality after introduction of NET in Sicily, and to study the efficiency of this service in reducing these rates of mortality in vulnerable neonates, transported from primary care birth centers to tertiary facilities to undergo to specialized NICU assistance. All neonates who required an emergency transport by NETS were included. No exclusions criteria were applied. Demographic and regional infantile mortality data, expressed as infant mortality rate, were selected by the official government database (ISTAT- National Statistic Institute—http://www.istat.it). All data were respectively divided into three groups: data concerning transport, clinical condition, and mortality of the transported patients. We transported by NET 325 neonates. The analysis of the infant mortality rate (per 1.000 live births) in Catania from 2016 to 2018 was reduced compared to the same rate calculated before NETS activation (4.41 index before 2016 vs 4.17 index after 2016). These data showed an increase in other provinces (Enna, Caltanissetta, and Agrigento). 61% of neonates showed a respiratory disease. During the study period the proportion of neonates with a Mortality Index for Neonatal Transportation—MINT < 6 has been reduced, while there was an increase of neonates with higher Transport Risk Index of Physiologic Stability-TRIPS score results. The slight decrease of infantile mortality in Catania during the first three years after introduction of NET follows the same trend of all Italian territories, showing the importance of this service in reducing infantile mortality.

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Critically ill neonates displayed stable vital parameters and reduced metabolic acidosis during neonatal emergency airborne transport in Sweden

Abstract: During air transport, critically ill neonates displayed stable vital parameters and reduced metabolic acidosis. No transport-related mortality was found, but the high number of extremely preterm infants transported indicates the potential for improving in-utero transport.

Cited by 8 publications

References 25 publications

Clinical deterioration during neonatal transport in California

Clinical deterioration during neonatal transport in California

Neonatal Transport in the Practice of the Crews of the Polish Medical Air Rescue: A Retrospective Analysis

Observational study on the efficiency of Neonatal Emergency Transport in reducing mortality and morbidity indexes in Sicily

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