The Study Of S.T.A.B.L.E. Program In Neonatal Transport Comparative Analysis Of Clinical Characteristics And Outcome Of Neonates Transferred By Different Ways

Objective To explore the important role of the S.T.A.B.L.E. program training in the neonate transport system.Methods Take the jurisdiction of county-level city of Qingdao, Jiaozhou and Jimo City, respectively, for the project district and control district. Obstetric and pediatric doctors of project district were trained for the S.T.A.B.L.E. program on February in 2010. General situation of neonates transferred were traced after training. According to training time and district, the neonates transferred were divided into 4 groups,Ⅰgroup:neonates come from project district from February to July,2010,Ⅱgroup:neonates come from control district at the same time;Ⅲgroup:neonates come from project district one year before training;Ⅳgroup:neonates come from control district one year before training. The conditions at admission and discharge of the neonates were compared between I group with II group and III group. Comparison of group II and group IV in order to exclude the impact of different years.Results There was no significant difference on admission severity of illness in each group. The I group neonates had lower abnormal incidence in body temperature, mean arterial blood pressure, glucose, hemoglobin count, hematocrit and blood gas analysis, shorter hospital stays, less hospitalization cost and better treatment effect than another two groups, the differences were significant (P<0.05). Neonates in I group had lower respiratory distress degree and lower abnormal calcium incidence than neonates in III group, the differences were significant (P<0.05). There was no significant difference on every index in neonates of II group and IV group.Conclusions Partial life indexes and laboratory indexes of transported neonates in project district after implement of S.T.A.B.L.E. program training are better than those of control distinct and project district before training when transported neonates are under roughly parallel degree in critical diseases. Objective To explore the clinical characteristics and outcome of neonates transferred by different ways.Methods A total of 1,027 neonates transferred to neonatal intensive care unit (NICU) of our hospital from July 2009 to July 2010 were analyzed prospectively. They were divided into three groups:two-way transport(TWT), hospital-aided one-way transport(HAT) and self-help one-way transport(SHT). The conditions at admission and discharge and pre-hospital care of the neonates were compared between the groups. The data were statistically analyzed with square tests, variance analysis and Mann Whitney U test.Results The median ages of TWT, HAT, and SHT groups at admission were 0.46 d,0.33 d and 5 d respectively. The TWT and HAT neonates had smaller gestational age and birth weight than SHT ones, had more severe conditions and cost more, and the differences were significant(P<0.05). Significant differences existed in all emergency treatment except in warming measures (x2=96.855～103.863,P<0.05). The cure percentage at discharge was the highest in SHT group, and differences in treatment results of three groups were significant (Z=-1.987～-5.347, P<0.05)Conclusions The TWT and HAT neonates have smaller gestational age, ages at admission and birth weight than SHT ones, have more severe conditions, cost more and lower cure percentage at discharge than SHT ones.