Introduction
Materials and methods
Study design
Patients
Padova neonatal emergency transport service
Data collection
Statistical analysis
Results
Sample size | N of neonates | 64 |
---|---|---|
Neonatal characteristics | Males | 38 (59%) |
Gestational age, weeks a | 38 (34–40) | |
Birth weight, grams a | 2935 (2100–3355) | |
Transferred after birth | 60 (93%) | |
Logistics | Level of referring center: Level I Level II Level III | 52 (81%) 12 (19%) 0 (0%) |
Travel distance, km a | 33 (25–43) | |
Diagnosis at call | Respiratory Neurologic (asphyxia) Cardiac Surgical | 31 (48%) 30 (47%) 2 (3%) 1 (2%) |
LMA | Only before the transport Only during transport Before and during transport | 60 (93%) 1 (2%) 3 (5%) |
Respiratory management before the transport | Oxygen concentration, % a | 40 (24–100) |
Mode of respiratory support: None (spontaneous breathing) Non-invasive respiratory support Mechanical ventilation | 28 (44%) 11 (17%) 25 (39%) | |
Respiratory management during the transport | Oxygen concentration, % a | 21 (21–39) |
Mode of respiratory support: None (spontaneous breathing) Non-invasive respiratory support Mechanical ventilation | 16 (25%) 8 (12%) 40 (63%) | |
In-hospital data | Neonatal temperature at NICU admission, °C a | 36.7 (35.7–37.0) |
Length of hospital stay, days a | 16 (6–26) | |
Outcome: Discharged Transferred Died | 27 (42%) 34 (53%) 3 (5%) |
RDS patients (n = 31) | Asphyxia patients (n = 30) | Patients with gestational age < 34 weeks or birthweight < 2 kg (n = 15) | ||
---|---|---|---|---|
Neonatal characteristics | Males | 20 (65%) | 17 (57%) | 8 (53%) |
Gestational age, weeks a | 35 (33–40) | 39 (37–40) | 31 (30–33) | |
Birth weight, grams a | 2475 (1913–3010) | 3077 (2525–3465) | 1645 (1275–1848) | |
Transferred after birth | 27 (87%) | 17 (100%) | 15 (100%) | |
Logistics | Level of referring center: Level I Level II Level III | 25 (81%) 6 (19%) 0 (0%) | 25 (83%) 5 (17%) 0 (0%) | 12 (80%) 3 (20%) 0 (0%) |
Travel distance, km a | 41 (27–47) | 28 (23–40) | 33 (24–47) | |
LMA | Only before the transport Only during transport Before and during transport | 27 (87%) 1 (3%) 3 (10%) | 30 (100%) 0 (0%) 0 (0%) | 15 (100%) 0 (0%) 0 (0%) |
Respiratory management before the transport | Oxygen concentration, % a | 90 (40–100) | 25 (21–70) | 60 (29–100) |
Mode of respiratory support: None (spontaneous breathing) Non-invasive respiratory support Mechanical ventilation | 17 (54%) 7 (23%) 7 (23%) | 9 (30%) 3 (10%) 18 (60%) | 8 (53%) 3 (20%) 4 (27%) | |
Respiratory management during the transport | Oxygen concentration, % a | 30 (21–52) | 21 (21–30) | 22 (21–34) |
Mode of respiratory support: None (spontaneous breathing) Non-invasive respiratory support Mechanical ventilation | 5 (16%) 6 (19%) 20 (65%) | 9 (30%) 2 (6%) 19 (64%) | 3 (20%) 0 (0%) 12 (80%) | |
In-hospital data | Neonatal temperature at NICU admission, °C a | 36.8 (36.6–37.3) | 36.3 (34.4–36.9) | 36.7 (36.4–37.0) |
Length of hospital stay, days a | 20 (6–36) | 11 (10–20) | 19 (10–36) | |
Outcome: Discharged Transferred Died | 13 (43%) 17 (54%) 1 (3%) | 14 (47%) 14 (47%) 2 (6%) | 10 (67%) 3 (20%) 2 (13%) |