| 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 |
| Journal | J Perinatol |
| Volume | 36 |
| Issue | 12 |
| Pagination | 1122-1127 |
| Date Published | 2016 12 |
| ISSN | 1476-5543 |
| 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 |
| Abstract | 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. |
| DOI | 10.1038/jp.2016.102 |
| Alternate Journal | J Perinatol |
| PubMed ID | 27684413 |
| Grant List | UL1 TR000093 / TR / NCATS NIH HHS / United States K23 HD068400 / HD / NICHD NIH HHS / United States |
