Back to Search
Start Over
Safety, speed, and effectiveness of air transportation for neonates.
- Source :
- Pediatrics International; Apr2021, Vol. 63 Issue 4, p415-422, 8p
- Publication Year :
- 2021
-
Abstract
- Background: In Japan, 44.3% of neonates are delivered in private clinics without an attending pediatrician. Obstetricians in the clinics must resuscitate asphyxiated neonates in unstable condition, such as respiratory failure, and they are frequently transferred to tertiary perinatal medical centers. There has been no study comparing the physiological status and prognosis of neonates transported by ambulance with those transported by helicopter. Methods: Medical and transport records were used to compare the physiological status of neonates transported to Kagoshima City Hospital by land and those transported by air between January 1, 2013, and December 31, 2017. Results : Data from 425 neonates transferred by land and 143 by air were analyzed. There were no significant differences between the two groups in mean gestational age, mean birthweight, fetal blood pH, Apgar score, or the Score for Neonatal Acute Physiology with Perinatal Extension‐II (SNAPPE‐II) on arrival to the tertiary center (16.3 ± 15.4 [95% confidence interval (CI): 13.2–17.7] vs 16.4 ± 15.4 [95% CI: 13.9–19.0], respectively; P = 0.999); both groups had SNAPPE‐II score 10–19, indicating no difference in mortality risk. The times to starting first aid and to admission to the intensive care unit were significantly reduced in neonates transported by air than by land. In subgroup analysis of patients of a gestational age ≤28 weeks, all cases of severe intraventricular hemorrhage (IVH) were observed in the land transportation group. Conclusions: Neonatal transportation by air is as safe as land transportation, and time to first aid and intensive care are significantly reduced by transportation by air than by land. Air transport could also contribute to the prevention of IVH in neonatal transportation. [ABSTRACT FROM AUTHOR]
- Subjects :
- AIRPLANE ambulances
INFANT care
ACQUISITION of data methodology
HYDROGEN-ion concentration
CONFIDENCE intervals
AMBULANCES
MECHANICAL ventilators
RETROSPECTIVE studies
GESTATIONAL age
TERTIARY care
CORD blood
MEDICAL records
CRITICAL care medicine
DESCRIPTIVE statistics
QUESTIONNAIRES
RESUSCITATION
PATIENT safety
EMERGENCY medicine
Subjects
Details
- Language :
- English
- ISSN :
- 13288067
- Volume :
- 63
- Issue :
- 4
- Database :
- Complementary Index
- Journal :
- Pediatrics International
- Publication Type :
- Academic Journal
- Accession number :
- 149937759
- Full Text :
- https://doi.org/10.1111/ped.14401