Karadeniz bölgesindeki bir üniversite hastanesine sevk edilen hasta yenidoğanların nakil koşullarının belirlenmesi

Abstract

D De et te er rm mi in na at ti io on n o of f t tr ra an ns sp po or rt t c co on nd di it ti io on ns s o of f n ne ew wb bo or rn ns s w wh ho o w we er re e r re ef fe er rr re ed d t to o a a u un ni iv ve er rs si it ty y h ho os sp pi it ta al l i in n B Bl la ac ck k S Se ea a r re eg gi io on n Material and Method:This prospective study was performed in 216 newborns referred to our unit by filling out the forms prepared previously concerning the transport reasons, the transport situations and the other items related to the newborns. Chi-Square or Fisher exact test and Mann-Whitney U test were used for statistical analysis. Ethical committee approval was obtained. Results:The study group consisted of 216 newborns; referral was informed previously in 154 newborns and not informed previously in 62 newborns. Indication for the transport was prematurity and/or mechanical ventilation support (71.4%) in previously informed newborns and neonatal hyperbilirubinemia (%46.8) in the non-informed group. Ambulance and transport incubator accompanied by a medical person was used for the transfer in 69% of the newborns. Fifty seven percent of the newborns had acidosis (p<7.34), 16% had cyanosis, 15% had inappropriate respiratory support, Twelve percent had hypoglycemia, 8% had hypothermia, bradycardia or hypotension. The most common errors made before or during transportation were lack of intravenous fluid and inappropriate amount and/or type of fluid. Conclusions:These results show that stabilization of newborns before and during transportation and communication between the centers before transportation were inadequate. Each region should create a communication network and regional transportation teams. Unnecessary referrals must be prevented. (Turk Arch Ped 2011; 46: 42-7)