Epidemiological characteristics and changing trend of active pre-hospital transfer of 6 338 neonates
10.3969/j.issn.1006-2483.2022.05.030
- VernacularTitle:6 338例新生儿院前主动转运的流行病学特征及变化趋势
- Author:
Wei WANG
1
;
Guo-zeng LU
1
;
Li XUE
1
;
Zhen-guang LI
1
Author Information
1. Department of Neonatology , Xuzhou Children's Hospital , Affiliated to Xuzhou Medical University , Xuzhou , Jiangsu 221006 , China
- Publication Type:Journal Article
- Keywords:
Pre-hospital transfer;
Critical neonates;
Epidemiological trends
- From:
Journal of Public Health and Preventive Medicine
2022;33(5):128-131
- CountryChina
- Language:Chinese
-
Abstract:
Objective To examine the epidemiological characteristics and trends of the active pre-hospital transportation of 6 338 newborns. Methods Newborns who were actively transported from other hospitals to the neonatal transportation center of Xuzhou children’s hospital from January 2014 to December 2018 were enrolled in the present study. The demographic information, clinical characteristics and transport data of the newborns were retrospectively analyzed. The epidemiological trends of the neonatal transfers in different years were analyzed. Results A total of 6 338 cases were included in the study, including 4,093 boys and 2,245 girls. The proportion of girls increased year by year (P<0.05). The average gestational age was 36.62 weeks, with no significant difference between years (P>0.05). The proportion of transferred neonates within 24 hours showed a downward trend (P<0.05). The proportion of premature infants, extremely low birth weight infants, invasive respiratory support infants and critical cases increased yearly (P<0.05). The number of surgical transfer cases in 2017 and 2018 increased compared with the previous years (P<0.05). The top three diseases were neonatal aspiration pneumonia, neonatal respiratory distress syndrome and neonatal asphyxia. There were no differences in the levels of the referral hospitals, transportation time and distance (P>0.05). In the past five years, there were only two deaths in the transfers (0.32‰). The overall rate of successful transfers was 99.08%. Conclusion The proportion of extremely low birth weight neonates, critical cases, invasive respiratory support cases, and surgical disease cases transported from 2014 to 2018 increased year by year. It is necessary to strengthen training of the relevant medical personnel to improve their techniques and skills according to the epidemic trends of neonatal pre-hospital transfer.
