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[Application of regionalized critical neonatal emergency transport system].
Zhang, Xue-Feng; Li, Ying; Xiao, Gui-Hua; Dai, Wen-Xia; Wang, Tian-Cheng; Liu, Hui; Ding, Cui-Ping; Tong, Xiao-Mei; Liu, Hui-Li; Feng, Zhi-Chun; Zhao, Yin-Zhu; Xiao, Ling-Ling; Xu, Ping; Wang, Xing-Yu.
Afiliación
  • Zhang XF; Department of Pediatrics, 302 Military Hospital of China, Beijing, China.
Zhongguo Dang Dai Er Ke Za Zhi ; 14(2): 101-4, 2012 Feb.
Article en Zh | MEDLINE | ID: mdl-22357465
OBJECTIVE: To study the application of the regional critical neonatal emergency transport system (NETS) to provide evidence for the optimization of NETS in Beijing. METHODS: All the transported neonates in four hospitals in Haidian District, Beijing, between January 2009 and September 2010 were enrolled. The relevant clinical information of two referral hospitals was analyzed. RESULTS: The top three conditions requiring transport were pre-term delivery, diseases requiring surgical treatment, and respiratory diseases, which accounted for 33.1%, 18.3%, and 14.8%, respectively. Active transport was performed in 95 cases (66.9%) and passive transport in 47 cases (33.1%). The age distribution of the neonates requiring transport was as follows: <6 hrs after birth (24.1%); 6-12 hrs (9.3%); 12-24 hrs (25.9%); and >24 hrs (40.8%). The mean time for transport from the hospital to a referral ward by ambulance was 28.0±11.1 minutes. Diseases requiring emergency surgical treatment were the leading cause of death, accounting for 53.8% of total deaths. The mortality rate was not significantly different between the neonates aged <6 hrs and ≥6 hrs groups. CONCLUSIONS: Active transport remains the main transport pattern among these four hospitals. Neonates requiring surgical treatment have a high mortality rate, and thus special attention should be paid to their transport.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transporte de Pacientes / Servicio de Urgencia en Hospital Límite: Female / Humans / Male / Newborn Idioma: Zh Revista: Zhongguo Dang Dai Er Ke Za Zhi Año: 2012 Tipo del documento: Article País de afiliación: China Pais de publicación: China
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Transporte de Pacientes / Servicio de Urgencia en Hospital Límite: Female / Humans / Male / Newborn Idioma: Zh Revista: Zhongguo Dang Dai Er Ke Za Zhi Año: 2012 Tipo del documento: Article País de afiliación: China Pais de publicación: China