Comparison of inter-facility transports of critically ill neonates who died after admission vs. survivors

Robert Schultz, Jennifer Berk-King, Laura Wallace, Girija Natarajan

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To compare characteristics before, during and after inter-facility transports (IFT), and changes in the Transport Risk Index of Physiologic Stability (TRIPS) before and after inter-facility transports (IFT) in infants who died within 7 days of admission to a level IV NICU versus matched survivors. Study design: This retrospective case-control study included infants who died within 7 days of IFT and controls matched for gestational age and reason for admission. Unplanned events were temperature or respiratory derangements. Therapeutic interventions included increased respiratory support, resuscitation or blood product transfusion. Results: Our cohort was predominantly preterm and male. Cases had a higher rate of resuscitation, lower Apgar scores, more respiratory acidosis, lower BP and higher TRIPS, compared to controls. Deterioration in TRIPS was independently associated with male gender and unplanned events; not with patient group. Conclusions: Rates of unplanned events, therapeutic interventions, and deterioration in TRIPS following IFT by a transport team are comparable in cases and controls.

Original languageEnglish
Pages (from-to)106-110
Number of pages5
JournalJournal of Neonatal Nursing
Volume27
Issue number2
DOIs
StatePublished - Apr 2021

Keywords

  • Inter-facility transport
  • Mortality
  • Neonatal intensive care

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