Article Text

PDF

PS-145 Preterm Infants Transportation Between Tertiary Care Centres (tcc) Within First Hours Of Life: Restrospective Cohort Study
  1. G Jourdain1,
  2. F Longhini2,
  3. P Quentin1,
  4. A Boët2,
  5. L Julé3,
  6. F Ammar1,
  7. JL Chabernaud1,
  8. D De Luca2
  1. 1Division of Pediatrics and Neonatal Critical Care and Mobile Intensive Care Unit, South Paris University Hospitals Medical Center “A. Beclere” Clamart France, Clamart, France
  2. 2Division of Pediatrics and Neonatal Critical Care, South Paris University Hospitals Medical Center “A. Beclere” Clamart France, Clamart, France
  3. 3Division of Pediatrics and Neonatal Critical Care, South Paris University Hospitals Medical Center “Kremlin Bicêtre” France, Kremlin Bicêtre, France

Abstract

Introduction Regionalization in perinatal care improved neonatal survival for 2 decades. Perinatal transport is known to be a bad prognostic factor for preterm neonates born in second level centres. No data exist for babies born in TCC who had to be transferred to other TTC. We evaluate short term clinical outcomes of preterm infants transferred between TCC.

Methods We retrospectively analysed all neonates aged ≤32 weeks gestation transferred before 6 h of life from the South Paris University Hospitals to another TCC. Transfer was due to organisational problems. Control group consisted of neonates born the month before or after the cases and matched for gestational age, birth weight and CRIB-II. Simple linear and logistic regressions were used for analysis.

Results We included 60 cases and 60 controls. The two groups were similar for basic clinical characteristics. No difference in clinical features (RDS, infection related respiratory failure, air leaks, hypotension) were present between the groups (Table 1). Early outcomes (IVH, periventricular leucomalacy, NEC, BPD and NICU stay) rates were not influenced by the transfer transport ((Table 1)

Conclusions Perinatal transfer for preterm babies born in a TCC is not a negative prognostic factor. It is conceivable that optimal care in delivery room is a keystone for better outcome.

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.