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JOURNAL

Clinical Medicine Insights: Pediatrics

Evaluation of Neonatal Transport in Western Switzerland: A Model of Perinatal Regionalization

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Clinical Medicine Insights: Pediatrics 2017:11 1179556517709021

Original Research

Published on 17 May 2017

DOI: 10.1177/1179556517709021


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Abstract

Neonatal transport is an essential part of regionalization for highly specialized neonatal intensive care. This retrospective analysis of prospectively collected data on neonatal transport activity in a large Swiss perinatal network more than 1 year, aimed to quantify this activity, to identify the needs for staff, and the demands regarding know-how and equipment. Of the 565 admissions to the tertiary neonatology clinic, 176 (31.2%) were outborn patients, transported as emergencies to the level III unit. In 71.6% of cases, respiratory insufficiency was one of the reasons for transfer. Circadian and weekly distribution showed increased transport activity on workdays between 8 am and 10 pm, but regular demands for emergency transports regardless of the time frame require a neonatal transport team available 24/7. This study highlights the importance of neonatal transport and unveils several functional and infrastructural insufficiencies, which led to suggestions for improvement.



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