|Title||Characteristics of neonatal transports in California.|
|Publication Type||Journal Article|
|Year of Publication||2016|
|Authors||Akula VP, Gould JB, Kan P, Bollman L, Profit J, Lee HC|
|Date Published||2016 12|
|Keywords||California, Case-Control Studies, Databases, Factual, Female, Gestational Age, Humans, Infant, Extremely Low Birth Weight, Infant, Extremely Premature, Infant, Newborn, Intensive Care Units, Neonatal, Male, Prospective Studies, Risk Factors, Transportation of Patients|
OBJECTIVE: To describe the current scope of neonatal inter-facility transports.
STUDY DESIGN: California databases were used to characterize infants transported in the first week after birth from 2009 to 2012.
RESULTS: Transport of the 22 550 neonates was classified as emergent 9383 (41.6%), urgent 8844 (39.2%), scheduled 2082 (9.2%) and other 85 (0.4%). In addition, 2152 (9.5%) were initiated for delivery attendance. Most transports originated from hospitals without a neonatal intensive care unit (68%), with the majority transferred to regional centers (66%). Compared with those born and cared for at the birth hospital, the odds of being transported were higher if the patient's mother was Hispanic, <20 years old, or had a previous C-section. An Apgar score <3 at 10 min of age, cardiac compressions in the delivery room, or major birth defect were also risk factors for neonatal transport.
CONCLUSION: As many neonates receive transport within the first week after birth, there may be opportunities for quality improvement activities in this area.
|Alternate Journal||J Perinatol|
|Grant List||UL1 TR000093 / TR / NCATS NIH HHS / United States |
K23 HD068400 / HD / NICHD NIH HHS / United States