بررسی وضعیت انتقال نوزادان به NICU بیمارستان بوعلی ساری در سال 87-1386

Background and purpose: Âppropriate transport of ill neonates to the tertiary level of Neonatal Ïntensive Çare Ünits (NÏÇÜs) is an important factor in their survival. Ïdentifying 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 NÏÇÜ of BuÂli teaching hospital. Materials and methods: Ïn this descriptive study, data of all of the transported neonates to Sari Buali NÏÇÜ from throughout Mazandaran were collected for a period of 6 months. Data collected include neonatal maternal demographic information and neonatal outcome recorded at BuÂli hospital and stabilization of the neonate before transport and at arrival to BuÂli 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: Ïn total, 148 neonates were transferred to BuÂli NÏÇÜ, 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%). Ônly 50% of the patients had ÂBG, ÇXR and BS checked for stabilization purposes before transport and 10.1% of them were hypothermic. Sari Ïmam Khomeini hospital had the majority cases of transport (68.2%). The referral hospital situation was appropriate except for the impaired elevator (12.8%). Ôf those 148 neonates, 26 neonates (17.6%) died. Ïn this study the correlation between gestational age and ÂPGÂR score with neonatal mortality was statistically significant. Çonclusion: 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. Ït is hoped that the findings of this study would be helpful to prepare a practical program for neonatal transport in Mazandaran.