بررسي وضعيت انتقال نوزادان به NICU بيمارستان بوعلي ساري در سال 1386-87

The Condition of Neonatal Transport to NICU in Mazandaran

Background and purpose: Appropriate transport of ill neonates to the tertiary level of Neonatal Intensive Care Units (NICUs) is an important factor in their survival. Identifying important factors in neonatal transport may have a major role in prognosis and survival rates of neonates. The present study was designed to assess the current situation and problems of ill neonates transport to the NICU of BuAli teaching hospital. Materials and methods: In this descriptive study, data of all of the transported neonates to Sari Buali NICU from throughout Mazandaran were collected for a period of 6 months. Data collected include neonatal maternal demographic information and neonatal outcome recorded at BuAli hospital and stabilization of the neonate before transport and at arrival to BuAli hospital and the situation of the referral hospital at the time of admission, recorded by transport team from original hospital. Data were analyzed using SPSS software. Results: In total, 148 neonates were transferred to BuAli NICU, with the most prevalent gestational age between 28 to34 weeks (32.4%) and the majority in the first 24 hour of birth (69.6%). The most frequent reason of transport was RDS (65.5%) and TTN (12.8%). Only 50% of the patients had ABG, CXR and BS checked for stabilization purposes before transport and 10.1% of them were hypothermic. Sari Imam Khomeini hospital had the majority cases of transport (68.2%). The referral hospital situation was appropriate except for the impaired elevator (12.8%). Of those 148 neonates, 26 neonates (17.6%) died. In this study the correlation between gestational age and APGAR score with neonatal mortality was statistically significant. Conclusion: The process of current neonatal transport in Mazandaran needs to be improved in terms of a regionalized program, communication system, optimal equipment, skilled personnel, etc. It is hoped that the findings of this study would be helpful to prepare a practical program for neonatal transport in Mazandaran.