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Characteristics of neonatal transports in California.

CPQCC Publication
TitleCharacteristics of neonatal transports in California.
Publication TypeJournal Article
Year of Publication2016
AuthorsAkula VP, Gould JB, Kan P, Bollman L, Profit J, Lee HC
JournalJ Perinatol
Date Published2016 12
KeywordsCalifornia, 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 JournalJ Perinatol
PubMed ID27684413
Grant ListUL1 TR000093 / TR / NCATS NIH HHS / United States
K23 HD068400 / HD / NICHD NIH HHS / United States