Prolonged neonatal interhospital transport on road: Relevance for developing countries

Kumar, Poddutoor Preetham; Kumar, Chirla Dinesh; Shaik, Farhan; Ghanta, Satish; Venkatalakshmi, A.

doi:10.1007/s12098-009-0336-2

Cited by 22 publications

(17 citation statements)

References 16 publications

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“…18 However, Kumar et al found that longdistance neonatal transport on road is feasible, and with a qualified team, results can be comparable to those transported from shorter distances. 19 In the present study, long-distance land-based neonatal transport increased the adverse effects of TTN in newborns. Patients from outside the city were admitted to the NICU later than patients from inside the city.…”

Section: Discussionsupporting

confidence: 45%

Impact of Land-Based Neonatal Transport on Outcomes in Transient Tachypnea of the Newborn

et al. 2010

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We sought to determine the effect of neonatal transport on the incidence of adverse events of transient tachypnea of the newborn (TTN) in term neonates. A retrospective study was performed of neonates who had TTN and were admitted to Neonatal Intensive Care Unit (NICU) of Sami Ulus Maternity, Children's Education and Research Hospital by land-based transport. Data from 208 newborns with TTN were evaluated, and clinical and laboratory findings were compared between patients who were transported from within the city (group 1) or from outside of the city (group 2). In the present study, long-distance land-based neonatal transport increased the adverse effects of TTN in newborns. Arterial blood gas parameters of the neonates in both groups before transport were similar, and these parameters and Downes' scores were comparable in both groups, implying that patients from outside the city had greater respiratory insufficiency than those from inside the city at admission to NICU. Respiratory support in the NICU and pulmonary air leak syndrome ratios were found to be significantly higher in the group from outside the city. Long-distance land-based transport in neonates with TTN increases the severity of illness. Furthermore, adverse events and the outcome of such infants depend on the effectiveness of the neonatal transport system.

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Section: Discussionsupporting

confidence: 45%

Impact of Land-Based Neonatal Transport on Outcomes in Transient Tachypnea of the Newborn

et al. 2010

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“…Lack of appropriate transport systems puts these neonates at risk of poor outcome even when they are eventually admitted to hospital [28][29][30]48]. One way to address this is to shorten travel time by improving the quality of transport to minimise the effect of distance as studies have shown that neonates can be transferred safely across long distances by road [10,51]. Alternatively, distance to the closest facility can be reduced by increasing the number of admission facilities and bringing specialized care closer to communities [13].…”

Section: Discussionmentioning

confidence: 99%

The Transport and Outcome of Sick Outborn Neonates Admitted to a Regional and District Hospital in the Upper West Region of Ghana: A Cross-Sectional Study

et al. 2020

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Optimum care of sick neonates often involves transporting them across different levels of care. Since their condition may deteriorate over time, attention needs to be paid to travel distances and how they are transferred. We examined the mode of transport, distances travelled, condition on arrival and outcome of outborn neonates admitted to a district and a regional hospital in Ghana using a cross-sectional study involving caregivers of neonates admitted to these hospitals. Information on referral characteristics and outcome were obtained from questionnaires and the child’s case notes. Overall, 153 caregivers and babies were studied. Twelve deaths, 7.8%, occurred. Neonates who died spent a median duration of 120 min at the first health facility they visited compared with 30 min spent by survivors; they travelled mostly by public buses, (41.7%), compared with 36.0% of survivors who used taxis. Majority of survivors, 70.2%, had normal heart rates on arrival compared with only 41.7% of neonates who died; hypothermia was present in 66.7% compared with 47.6% of survivors. These findings indicate that the logistics for neonatal transport were inadequate to keep the neonates stable during the transfer process, thus many of them were compromised especially those who died. Further studies are warranted.

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“…It is of utmost importance to understand that patient stabilization is an essential requirement for adequate transport, regardless of transport time or distance. 20 The transport team must confirm patient stability before starting the transport, so that its benefits outweigh the inherent risks. 1 For the transport to be successful, with minimal risks, the patient must be well-monitored patient, undergoing assisted mechanical ventilation, if necessary, after receiving medications at the local hospital before transpor.…”

Section: Discussionmentioning

confidence: 99%

“…Axillary temperature is one of the variables that change the most during transport, as shown in studies that used it as a transport assessment parameter. 12,20,22 If the teams were trained specifically in neonatal transport, the results would probably be even better. The authors suggest an integration between SAMU, MOH, and SBP in order to systematically train healthcare staff in neonatal transport, reassessing neonatal transport service teams and exchanging previous experience on patient transport and care of the transported newborn.…”

Section: Discussionmentioning

confidence: 99%

Quality Assessment of Neonatal Transport performed by the Mobile Emergency Medical Services (SAMU)

Romanzeira

Sarinho

2015

Jornal de Pediatria

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Prolonged neonatal interhospital transport on road: Relevance for developing countries

Abstract: Long distance neonatal transport on road is feasible and with a qualified team results can be comparable to those transported from shorter distances.

Cited by 22 publications

References 16 publications

Impact of Land-Based Neonatal Transport on Outcomes in Transient Tachypnea of the Newborn

Impact of Land-Based Neonatal Transport on Outcomes in Transient Tachypnea of the Newborn

The Transport and Outcome of Sick Outborn Neonates Admitted to a Regional and District Hospital in the Upper West Region of Ghana: A Cross-Sectional Study

Quality Assessment of Neonatal Transport performed by the Mobile Emergency Medical Services (SAMU)

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