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.