Document Detail


A population based 10-year study of neonatal air transport in North Norway.
MedLine Citation:
PMID:  17498188     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: This study audits the activity of the neonatal air transport team in Norway's two northernmost counties. METHODS: Data on all air transports to or from the regional Neonatal Intensive Care (NICU) Unit within a 10-year period were collected. RESULTS: Two hundred and thirty-eight acute transports were conducted during the study period; 169 referrals to the NICU and 69 transfers to national surgical and cardiac centres. Only 13 very low birth weight infants were transported; the in utero transport rate was 95% for this patient population. The adjusted risk of death and/or intracranial haemorrhage for outborn very low birth weight infants was five-fold increased compared to those not transported postnatally. Babies with congenital heart disease comprised the one-fourth of all transports. The long-term mortality was 14% for the whole study population, and 29% for infants with congenital heart disease. Only seven deaths (3.2%) were defined as being transport-related; death during or within 24 h after transport. However, preventable complications like temperature instability, hypoglycaemia and hypo-/hypercapnia occurred in 10-20% of all transports. CONCLUSION: The transport related mortality was low in this study, however very low birth weight infants and infants with major congenital heart disease showed a relatively poor outcome.
Authors:
Astri Lang; Henrik Brun; Per Ivar Kaaresen; Claus Klingenberg
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Publication Detail:
Type:  Journal Article; Multicenter Study     Date:  2007-05-10
Journal Detail:
Title:  Acta paediatrica (Oslo, Norway : 1992)     Volume:  96     ISSN:  0803-5253     ISO Abbreviation:  Acta Paediatr.     Publication Date:  2007 Jul 
Date Detail:
Created Date:  2007-06-19     Completed Date:  2007-08-22     Revised Date:  2009-02-20    
Medline Journal Info:
Nlm Unique ID:  9205968     Medline TA:  Acta Paediatr     Country:  Norway    
Other Details:
Languages:  eng     Pagination:  995-9     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, University Hospital of North-Norway, University of Tromsø, Norway. laaj@uus.no
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MeSH Terms
Descriptor/Qualifier:
Air Ambulances / statistics & numerical data*
Female
Heart Defects, Congenital / mortality
Humans
Infant, Newborn
Infant, Newborn, Diseases* / mortality
Infant, Very Low Birth Weight*
Logistic Models
Male
Medical Audit*
Norway / epidemiology
Obstetric Labor, Premature
Patient Transfer / statistics & numerical data*
Pregnancy
Prospective Studies
Comments/Corrections
Comment In:
Acta Paediatr. 2008 Dec;97(12):1600   [PMID:  18823295 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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