Transported neonates in Tunisia.
Tunis Med
; 96(12): 865-868, 2018 Dec.
Article
in En
| MEDLINE
| ID: mdl-31131866
ABSTRACT
AIMS:
To describe the transport of sick neonates to a tertiary care hospital and evaluate their condition at arrival and outcome.METHODS:
A multicenter, prospective cohort study was performed in 7 NICUs in Tunisia from 1st april to 31 July 2015.Demographic parameters, transport details and clinical features at arrival were recorded. All neonates were followed up till discharge or death.RESULTS:
A total of 239 consecutive neonates were enrolled in the study representing 5.7% of all admitted infants. Maternal risk factors were present in 26% of neonates admitted. Sex-ratio was 1.46. Preterm infants represented 24% of transported babies. Seventeen percent of neonates had severe respiratory distress and 10% had hemodynamic troubles. Referred hospital was not informed in 24% of cases. Regarding the transport mode, 113 newborns (47.5%) were transported in ambulance accompanied by a nurse. Documentation during transfert was present in 14% of cases. Five babies expired on arrival despite resuscitation. Rate mortality was 8.4%.CONCLUSION:
Transporting neonates in developing countries is a challenge. Organized transport services in Tunisia are not always available. So, in cases of at-risk pregnancy, it is safer to transport the mother prior to delivery than to transfer the sick baby after birth.
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Database:
MEDLINE
Main subject:
Infant, Newborn
/
Transportation of Patients
Type of study:
Clinical_trials
/
Observational_studies
/
Risk_factors_studies
Limits:
Adult
/
Female
/
Humans
/
Infant
/
Male
/
Pregnancy
Country/Region as subject:
Africa
Language:
En
Year:
2018
Type:
Article