Outcome of neonates who were transported in Attica's NICU and factors that influence

Doctoral Dissertation uoadl:1305549 885 Read counter

Unit:
Τομέας Υγείας - Μητέρας - Παιδιού
Library of the School of Health Sciences
Deposit date:
2015-12-06
Year:
2015
Author:
Μούσκου Στέλλα
Dissertation committee:
Ιακωβίδου Νικολέττα Επίκουρη Καθηγήτρια, Μπακούλα-Τζουμάκα Χρύσα Ομότιμη Καθηγήτρια, Γούναρης Αντώνης Αναπληρωτής Καθηγητής
Original Title:
'Εκβαση των νεογνών που διακομίζονται σε ΜΕΝΝ στην Αττική και παράγοντες που την επηρεάζουν
Languages:
Greek
Translated title:
Outcome of neonates who were transported in Attica's NICU and factors that influence
Summary:
Introduction: Due to the geography of the country and the distribution of
perinatal care centers in Greece, neonatal transport(NT) becomes a necessity.
Purpose: To record the main adverse events during NTs, the outcome of
transported neonates and their correlation with different factors.
Materials and methods: Between 1/1/2009-31/12/2009, 677 neonates were
transported to NICU in Athens. For statistical analysis chi-square test,
McNemar test and multiple logistic regression from SPSS-20 were used.
Results: 22,2% of neonates presented with at least one complication;
hypoglycemia (5,9%), hypothermia(5,9%) and urgent intra-venous line
placement(5,2%) were most commonly observed. During transportation
complications were deteriorated (27,8%) especially thermoregulation and glucose
administration. Concerning neonatal outcome, 29% had RDS, 8,7% IVH and
mortality was 3,4%.
Regardless the type of transportation used, the highest percentage in
complications and correlation with outcome, was seen in neonates with birth
weight1500gr, gestational age 32 weeks and those transported the first day of
life. Statistically important correlation with neonatal outcome was reported
with hypoglycemia (p<0.001).
Conclusions: Neonates with birth weight1500gr, gestational age 32 weeks,
complications during pregnancy and those transported in the first day of life
have greater probability to present with complications and worse outcome.
Hypoglycemia and hypothermia are the most commonly observed.
Keywords:
Neonate, Transportation, Complications, NICU, Outcome
Index:
Yes
Number of index pages:
0
Contains images:
Yes
Number of references:
291
Number of pages:
I-V, 1-187

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