Intra‐hospital mortality among neonates transported by ambulance in <scp>C</scp>olombia

Alvarado-Socarrás, Jorge L.; Bermon, Anderson; Naranjo-Estupiñan, Néstor F.; Idrovo, Álvaro J.

doi:10.1111/ped.12320

Cited by 6 publications

(4 citation statements)

References 19 publications

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“…Few studies have focused on interfacility transport in neonatal populations. 11,[15][16][17] In agreement with previous studies, a low GA was the most significant factor associated with adverse short-term outcomes in our cohort. Additionally, low birth weight and birth by cesarean section tended to be associated with adverse outcomes, although the differences were not statistically significant.…”

Section: Discussionsupporting

confidence: 92%

Impact of Time to Neonatal Transport on Outcomes of Transient Tachypnea of the Newborn

et al. 2018

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Objective To assess effects of neonatal transport on transient tachypnea of the newborn (TTN) in outborn term neonates. Study Design This retrospective cohort study included 66 term neonates diagnosed with TTN and transported to the Osaka Women's and Children's Hospital neonatal intensive care unit between January 2003 and March 2018. A multivariate logistic regression analysis identified perinatal and neonatal transport factors associated with adverse short-term outcomes defined as mechanical ventilation >48 hours, continuous positive airway pressure >72 hours, pulmonary hemorrhage, and requirement for inhaled nitric oxide, thoracentesis, or surfactant replacement therapy. Results A lower gestational age (GA) (37.7 [37.2, 38.3] vs. 39.6 [37.8, 40.3] weeks, p = 0.002), longer time to neonatal transport (10.0 [4.3, 25.5] vs. 5.5 [2.7, 9.7] hours, p = 0.01), and higher respiratory rates during transport (70 [60, 85] vs. 60 [55, 78.8] breaths/min, p = 0.04) were significantly associated with adverse short-term outcomes. After adjusting for GA, sex, cesarean section, and time to neonatal transport, GA (odds ratio [OR], 0.37; 95% confidence interval [CI], 0.24–0.87) and time to neonatal transport (OR, 1.07; 95% CI, 1.01–1.13) were significantly associated with adverse outcomes. Conclusion Short-term adverse prognosis of TTN is strongly associated with a lower GA and longer time between birth and neonatal transport.

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Section: Discussionsupporting

confidence: 92%

Impact of Time to Neonatal Transport on Outcomes of Transient Tachypnea of the Newborn

et al. 2018

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“…However, it is confirmed that the study should be examined again by taking into account the values of mortality and morbidity. Alvarado-Socarras et al [27] aimed to determine the important parameters affecting the mortality rate using data for 191 neonatal patients over a six-month period. As a result of the study, the neonates who weigh less than 1500 grams and have renal failure, congenital defects and higher TRIPS values have a higher mortality risk.…”

Section: Resultsmentioning

confidence: 99%

“…Arora et al [25] also made use of TRIPS. In our study, the TRIPS scoring system for all pregnancy weeks was used, as in the studies of Mohamed and Aly [9] and Alvarado-Socarras et al [27].…”

Section: Resultsmentioning

confidence: 99%

Mortality Rate Pre-assessment Based on Trips Score

Dağsuyu

Narlı

Kokangül

et al. 2016

BJMMR

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Treatment and care for newborn babies are provided at medical centres by personnel with the required education and experience using special equipment. Similar to the situation in many other countries, centres with such concentrations are rare; such a situation has required transportation of newborn babies from the centres where they are located to specialised centres. The medical centre that will transport the newborn cannot determine which case is a greater emergency (prioritised) without visiting and inspecting each newborn. In this study, prioritisation of transportation to a Level III newborn medical centre that also fulfils its own transportation needs was studied. In this study, using basic information regarding the newborn (not requiring laboratory tests) without visiting the newborn, the transportation priority of the newborn and the mortality rates were predicted using feed-forward artificial neural networks with high reliability. Prior to transportation, the state of newborn babies is determined using TRIPS scoring. In this way, when more than one transport call is received at the same time, prioritisation will be performed considering mortality rates. Detecting newborn patients' medical conditions will also help in planning what type of equipment and transportation vehicles are required.

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“…In the past, patients were mainly transported by ambulances which had the disadvantages of long travel time, limited onboard equipment and bumpy ride. These problems restricted the application of ambulances in SAP patient transportation over an extra long distance [ 7 ]. It usually took ambulances more than a whole day to transfer patients to our center which was extremely dangerous for SAP patients, hence most of them had to give up transportation.…”

Section: Introductionmentioning

confidence: 99%

Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?

Gao

Zhang

Gao

et al. 2018

Gastroenterology Research and Practice

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Objective Severe acute pancreatitis (SAP) patients usually develop persistent organ dysfunction which causes the majority of deaths. It is important for SAP patients to receive centralized diagnosis and treatment in an experienced tertiary center. China, as a vast country with uneven distribution of medical resources, should take advantage of air medical transportation to meet the challenge of patient transfer among different regions. The aim of this study was to evaluate the safety and effectiveness of air transport for SAP patients via extra long distance. Methods This was a retrospective analysis of all air medical transportations for SAP patients admitted to Jinling Hospital from January 2010 to December 2016. The general characteristics, transportation process, and clinical outcomes of these patients were recorded, and the safety and effectiveness of air transport were evaluated. Results All the 20 SAP patients were successfully transferred by chartered aircraft without any occurrence of severe transport-associated complications. The mean transport time was 5.86 hours and the average transport distance was 1530 kilometers. The majority of SAP patients got timely intervention and the ultimate mortality rate was 15%. Conclusions Air medical transport appears to be safe and effective for SAP patients with vital organ dysfunctions during the extra long-distance transportation.

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Intra‐hospital mortality among neonates transported by ambulance in Colombia

Abstract: Weight <1500 g, renal failure, congenital defects (except congenital cardiopathies) and high TRIPS were associated with a higher risk of intra-hospital mortality. The findings suggest that improving transfer time and quality of care in ambulances would decrease mortality.

Cited by 6 publications

References 19 publications

Impact of Time to Neonatal Transport on Outcomes of Transient Tachypnea of the Newborn

Impact of Time to Neonatal Transport on Outcomes of Transient Tachypnea of the Newborn

Mortality Rate Pre-assessment Based on Trips Score

Air Medical Transportation for Severe Acute Pancreatitis Patients over an Extra Long Distance: Is It Safe Enough?

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