Transported Neonates by a Specialist Team— How STABLE are they

Kumar, Poddutoor Preetham; Kumar, Chirla Dinesh; Shaik, Farhan; Yadav, Sandeep; Dusa, S; Venkatlakshmi, Alla

doi:10.1007/s12098-010-0362-0

Cited by 25 publications

(11 citation statements)

References 7 publications

(8 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…8,9,10 The mean stabilization time (51.63min) was more than in transports studied by Kumar where average time spent on stabilization was 38 min, but less than that reported by Leslie in Nottingham where average Stabilizing time was 105 min. 11,12 52.4% of all transported patients were ventilated at some point. This is important in planning requirements for ventilators in NICUs having transport facility.…”

Section: Discussionmentioning

confidence: 99%

Study of indications, complications and outcomes of neonatal transport by a skilled team

Mohan¹,

Kumar²

2019

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: A skilled transport team is an essential requirement for safe and effective neonatal transport. The transport team of this level III NICU in Chennai performs a considerable number of transports every year and a need was felt to study the indications, complications and outcomes of transport.Methods: Prospective Descriptive study of neonatal transports conducted 18 months Patients were divided into 2 main groups based on transport Duration: Short (≤1hr) and Long (>1hr) transport groups. TRIPS (Transport risk index of physiologic stability) score, a risk- weighted validated neonatal transport was used as a practical system for assessing infant transport careResults: During the study period 210 transports were performed from 12 cities and towns. 60% transports were of short duration. Respiratory causes were the most common indications (43.8%) followed by CNS causes (19.5%). 44.3%(93) patients required ventilation during the transport process. Overall, there was improvement in mean TRIPS 2 score compared to TRIPS 1 in all groups of patients (Short, Prolonged, Survivors and Non-survivors). Total mortality of transported group was 31 patients (14.8%). (Including 02 patients who died enroute). There were non-significant differences in 7 day mortality (7.6% vs 8.4%) and total mortality (13.9% vs 13.4%) between the groups. Complications that occurred during transport included hyperglycemia, prolonged CFT, hypothermia, accidental extubation enroute, hypoglycemia, hyperthermia, Hypotension, and persistent Hypoxia.Conclusions: It appears, that overall, duration of transport does not adversely affect outcome. Transport Team should be able to intubate and ventilate the baby and diagnose and manage complications like hypothermia, shock and hypoglycemia at referring hospital and enroute.

show abstract

Section: Discussionmentioning

confidence: 99%

Study of indications, complications and outcomes of neonatal transport by a skilled team

Mohan¹,

Kumar²

2019

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…[ 25 ] Our findings are also in the same direction, suggesting importance of prior stabilization before referral, underscored repeatedly in the past. [ 25 26 27 ] Stabilization of newborn, along with advices for maintaining airways and thermoregulation by Kangaroo Mother Care during transport form such a framework which could improve the immediate outcome after admission. Ensuring vital parameters before and during transport is probably the weakest link in neonatal health scenario of our country.…”

Section: Discussionmentioning

confidence: 99%

Mortality in newborns referred to tertiary hospital: An introspection

Aggarwal

Gupta

Sharma

et al. 2015

J Family Med Prim Care

View full text Add to dashboard Cite

Background:India is one of the largest contributors in the pool of neonatal death in the world. However, there are inadequate data on newborns referred to tertiary care centers. The present study aimed to find out predictors of mortality among newborns delivered elsewhere and admitted in a tertiary hospital in New Delhi between February and September 2014.Materials and Methods:Hospital data for were retrieved and analyzed for determining predictors for mortality of the newborns. Time of admission, referral and presenting clinical features were considered.Results:Out of 1496 newborns included in the study, there were 300 deaths. About 43% deaths took place in first 24 hours of life. Asphyxia and low birth weight were the main causes of death in early neonatal period, whereas sepsis had maximum contribution in deaths during late neonatal period. Severe hypothermia, severe respiratory distress, admission within first 24 hours of life, absence of health personnel during transport and referral from any hospital had significant correlation with mortality.Conclusions:There is need for ensure thermoregulation, respiratory sufficiency and presence of health personnel during transport.

show abstract

“…Bien que des programmes de formation du ministère de la Santé existent, une enquête SONU (soins obstétricaux et néonatals d'urgence) récemment menée au Sénégal a mis en exergue de nombreuses carences, liées au manque de matériel adapté au nouveau-né et à l'absence de formation pratique, initiale ou continue des prestataires [18]. Les soins inadaptés en pré-transfert ont été identifiés comme facteurs significatifs de mortalité des nouveau-nés transférés [13,19].…”

Section: Soins Prétransfertunclassified

Problématique des transferts néonatals dans la région de Dakar (Sénégal)

et al. 2016

View full text Add to dashboard Cite

Objectif : Apprécier les conditions de transfert médical des nouveau-nés malades dans la région de Dakar. Méthodologie : Il s'agissait d'une étude prospective, transversale et analytique, menée entre août 2013 et janvier 2014, intéressant les cas de transfert néonatal, dans huit centres de santé périphériques (et leurs postes de santé de responsabilité) et trois services de néonatologie de référence de niveau III, dans la région de Dakar (Sénégal). Pour chaque transfert étaient recueillis les aspects sociodémographiques, les données périnatales, la nature des soins prétransfert, les conditions et la durée du transfert ainsi que l'évolution des nouveau-nés. L'analyse des données a été réalisée avec SPSS 21. Résultats : Au total, 130 cas de transfert néonatal ont été documentés. Le transfert était fait des structures périphé-riques vers les hôpitaux de niveau III dans 99 cas (76,1 %) et entre structures de référence dans 31 cas (23,8 %). Il y avait une prédominance masculine (sex-ratio : 1,6). L'âge moyen au moment du transfert était de 72 heures (1 heure à 28 jours de vie), et les transferts précoces avant 48 heures (68 cas) représentaient 52,3 %. Les structures d'accueil n'avaient été avisées que dans 26,9 % des cas. Les principaux motifs de transfert étaient le sepsis (35,4 %), la détresse respiratoire (33,8 %), le faible poids de naissance (FPN) [33,1 %]. En prétransfert, 37,7 % des nouveau-nés n'avaient reçu aucun soin ; 39,2 % avaient été réanimés. L'ambulance n'était utilisée que dans 30 % des cas, le taxi urbain était le moyen de transport le plus utilisé (45,4 %). Il n'y avait pas d'accompagnement par un personnel de santé dans 72,3 % des cas. Le délai moyen avant admission dans une structure de référence était de 3 heures et 30 minutes (maximum de trois jours). Durant le transport, plus de la moitié des nouveau-nés (53,8 %) avaient visité au moins deux structures de référence. À l'arrivée, trois nouveau-nés étaient décé-dés, six étaient en arrêt cardiorespiratoire. Une hypothermie était notée chez 33,8 % des nouveau-nés et une hypoglycé-mie chez 23,8 %. La mortalité parmi les nouveau-nés transférés était de 22,3 % (29 décès).Conclusion : Les transferts néonatals se déroulent dans de mauvaises conditions dans la région de Dakar. L'organisation d'un système de transport néonatal efficace, articulé autour de réseaux régionaux de périnatalité, est une priorité pour tout le Sénégal. Mots clés Nouveau-né · Transfert néonatal · DakarAbstract Objective: To analyze conditions of medical transfer of the sick newborns in the region of Dakar, Senegal. Method: This was a prospective transversal study, between August 2013 and January 2014 (6 months), concerning neonatal transfer in eight health peripheral centers and three Central University neonatal units, all localized in Dakar region. For each transfer, socio-demographic and perinatal data, treatment before transfer, conditions and duration of the transfer, and outcome of newborns were collected. Data was analyzed with SPSS 21. Results: A total of 130 neonatal trans...

show abstract

Transported Neonates by a Specialist Team— How STABLE are they

Cited by 25 publications

References 7 publications

Study of indications, complications and outcomes of neonatal transport by a skilled team

Study of indications, complications and outcomes of neonatal transport by a skilled team

Mortality in newborns referred to tertiary hospital: An introspection

Problématique des transferts néonatals dans la région de Dakar (Sénégal)

Contact Info

Product

Resources

About