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KMID : 0361720130240040265
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Korean Journal of perinatology
2013 Volume.24 No. 4 p.265 ~ p.274
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Neonatal Transport and Regionalization of Neonatal Intensive Care: The Perspective of Transferred Preterm Infants in a Single Neonatal Intensive Care Unit of the South-western Area of Gyeonggi-do
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Shin Sang-Hoon
Lee Eun-Hee
Shin Jeong-Hee
Hwang Mi-Jung
Choi Young-Ok
Seo Won-Hui
Choi Byung-Min
Kim Hai-Joong
Hong Young-Sook
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Abstract
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Purpose: Not only regionalization of neonatal care for high risk newborn, but also safe neonatal transport system of newborn were not completely established in Korea. The aim of this study was to compare the clinical outcomes of preterm infants less than 35 week gestational age with regard to inborn and out born status, to understand the problems of regionalization of neonatal care and neonatal transport system and to provide the basis to solve the potential problems.
Methods: This retrospective study included 40 out born and 40 inborn preterm infants less than 35 week gestational age admitted to the neonatal intensive care unit of Korea University Ansan Hospital during the period between January 2006 and June 2013.
Results: Compared with those in the inborn group, the incidences of hypoglycemia and respiratory distress were significantly more frequent in the out born group at admission. The uses of surfactant, ventilator, and inotrope were significantly more frequent in the out born during hospitalization. Mortality occurred only in theoutborn group. Most of infants were transferred by a nurse alone, not a team with doctor.
Conclusion: Transferred preterm infants may not be sufficiently stabilized before transport, according to the result of more frequent hypoglycemia and respiratory distress in the out born group. In order to reduce mortality and morbidity of transferred newborn from level I, the national policy about neonatal intensive care unit level guideline (manpower, equipment, and facility), regionalization of neonatal intensive care, and neonatal transport system are needed in Korea.
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KEYWORD
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Transportation of patients, Regional medical programs, Preterm infant, Resuscitation, Perinatal care
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