Status of Neonatal Transport and Impact of Facilitated Referral on the Outcome of Transported Sick Newborns: At Tertiary Care Hospital.
Journal Title: Scholars Journal of Applied Medical Sciences - Year 2017, Vol 5, Issue 10
Abstract
Abstract: Transport of sick newborns in India is still at a premature stage. Ineffective transport results in complications like hypoglycemia, hypothermia and hypoxia which adversely affect the outcome of transported neonates. Facilitated referral in the form of pre referral stabilization, providing written referral slip and proper care during transport can improve the survival rate of referred babies. Hence this study was undertaken to evaluate the status of neonatal transport in this area. This prospective observational study was conducted on all extramural cases less than or equal to 7 days of age admitted at the NICU of department of pediatrics, Government General Hospital, Kakinada from May 2015 to October 2016. Referral and Transport details such as place of referral, type of referral (verbal or written), details of pre referral treatment , mode of transport, duration of transport , personnel accompanying during transport and treatment given, if any during transport were noted. TOPS score was recorded at admission and all cases were followed till discharge or death. Out of 1522 transported babies, 39.2% of newborns were admitted within 24 hours of life. Preterms accounted for 46.9% and 59.2% were low birth weight. 37.8% referrals were from SNCU/district hospitals and doctor was the referring person in 76.3%. Pre referral stabilization was done in 89% of SNCU referrals and 36% of non-SNCU referrals. Warmth care during transport was provided in 68.2% cases transported in ambulance whereas it was only 33.6% in non-ambulance transport. Hypothermia was noted in 48.5% newborns. Incidence of hypothermia was higher in non-SNCU referral babies (52.9%) and in those with transport time >3hours (87%) and in babies with non-ambulance transport (87.8%). Mortality was higher in babies with 3 or more abnormal parameters of TOPS at admission. Organized neonatal transport aids for better survival of sick transported newborns. Keywords:Transport, Referral, 108 ambulances, TOPS, Hypothermia.
Authors and Affiliations
D. Manikyamba, N. Madhavi, M. Srinivasa Reddy
Keywords
Related Articles
- EP ID EP371949
- DOI -
- Views 49
- Downloads 0
Differentiation of Benign Breast Lesions by Ultra Sonography to Defer Biopsy Amlendu Nagar*, Sheetal Singh, Pramod Sakhi, Vineet Kumar
The objective of the study was to assess breast masses by ultra sonography as probably benign, so that biopsy can be deferred. We have evaluated 336 patients with songraphically visible solid breast masses, which were ad...
A Comprehensive Study of Drowning in and Around Kakinada, Two Years Retrospective Study
Abstract: India is a vast country having plenty of water supplies from rivers, ponds, well and an extensive sea coast. So drowning is one of the most common causes of death in all manners of death in this country. The pr...
Study of Complications of Liver Cirrhosis with Special Reference to Hepatorenal Syndrome: A Prospective Study from Central India
Despite its functional nature, hepatorenal syndrome (HRS) is associated with a poor prognosis and the only effective treatment is liver transplantation. It is very important to diagnose renal impairment in cirrhosis pati...
A Comparative Study Of Hearing Screening Using Otoacoustic Emissions In Newborns Delivered By Normal Vaginal Route And By LSCS (Lower Segment Cesarian Section).
Abstract: The present study was undertaken to assess the prevalence of congenital hearing loss in neonates born at SSG Hospital Vadodara using otoacoustic emissions. The present study was prospective observational study,...
Obstructive Sleep Apnea- An Overview
Abstract: OSA occurs due to upper airway obstruction with shallow breathing lasting for 20- 40 seconds during sleep along with decreased blood oxygen saturation. There are various risk factors for OSA like obesity, narro...