REVISTA DE EDUCATIE MEDICALA CONTINUA DEDICATA GINECOLOGILOR,
OBSTETRICENILOR, MOASELOR SI ASISTENTILOR MEDICALI DIN ROMANIA

<- Home <- Arhive <- Anul 9, Nr. 33, Septembrie 2021



RevistaGinecologia9(33)54-57(2021)
© VERSA PULS MEDIA, S.R.L.


Clinical characteristics of the newborns with distress syndrome who required transfer by ambulance to other hospital units

A. Nistor, R.M. Sima, L. Pleș, A.D. Stănescu


Rezumat: Introduction. Respiratory distress syndrome (RDS) is a frequent clinical critical disease and it represents a significant cause of death and disability in neonates. The availability of the proper intensive care facilities is different in neonatal services, and this is the reason why neonates must be transported to superior care centres. The purpose of our study was to identify the clinical characteristics of the neonates with RDS who are transported by ambulance to tertiary neonatal services. Materials and method. We realized a prospective study that included newborns with respiratory distress syndrome who required transfer by ambulance from a hospital that could not fulfill the newborn intensive care criteria to another hospital with a superior level of neonatal intensive care. Results. The analyzed group included 133 children with respiratory distress syndrome (RDS) who were transported by ambulance from one hospital to another between 2017 and 2020. The gender distribution showed a proportion of 60.3% males (79 children) and 39.7% (52 children) female newborns. Depending on the degree of prematurity, they are distributed as follows: 9.28% (nine newborns) were extreme preterm (less than 28 weeks), their average weight being 837.22 grams (standard deviation 248.761, CI: [646.01; 1028.44]), 30.93% (30 newborns) were born very preterm (28-32 weeks), their average weight being1388.67 grams (standard deviation 405.656, CI: [1237.19; 1540.14]), and 59.79% (58 newborns) were born moderate and late preterm (32-37 weeks), with an average weight of 2503.28 grams (standard deviation 737.065, CI: [2309.47; 2697.08]). The mean gestational age of the newborns who required resuscitation at birth was 33.06 weeks (standard deviation 4.302, CI: [32.02; 34.10]), and for those who did not need resuscitation the mean gestational age was 34.58 weeks of pregnancy (standard deviation 5.584, CI: [33.20; 35.97]).Conclusions. The neonatal transport represents an important medical issue. The clinical parameters of the newborns with RDS who require transport are represented by: prematurity, low Apgar scores at birth and neonatal resuscitation. Further randomised studies are necessary to bring additional information.
Cuvinte cheie: respiratory distress syndrome, ambulance, prematurity, newborn.

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