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Prolonged neonatal interhospital transport on road: relevance for developing countries
Poddutoor Preetham Kumar1, Chirla Dinesh Kumar, Farhan A R Shaik
1Rainbow Children's Hospital and Perinatal Centre, Banjara Hills, Hyderabad, India. drpreethamp@gmail.com
Indian Journal of Pediatrics
|January 27, 2010
Summary
Long distance road transport for neonates by a qualified team is feasible. Outcomes and survival rates are comparable to shorter neonatal transports, indicating safety and efficacy.
Area of Science:
- Neonatal transport medicine
- Pediatric critical care
- Road-based medical logistics
Background:
- Inter-hospital neonatal transport is crucial for accessing specialized care.
- The impact of prolonged road transport distances on neonatal outcomes requires further investigation.
Purpose of the Study:
- To compare the outcomes of prolonged inter-hospital road transports of neonates by a qualified team versus shorter transports.
- To assess the feasibility and safety of long-distance neonatal road transport.
Main Methods:
- A retrospective descriptive comparative study analyzed neonatal road transports over 48 months.
- Neonate data, including biochemical characteristics, adverse events, and 24-hour survival, were compared between long-distance and short-distance transport groups.
Main Results:
- Neonates in both groups were comparable in gestational age and ventilatory support needs.
- Biochemical/metabolic profiles and 24-hour mortality rates were similar between neonates undergoing longer versus shorter transports (p=0.75).
Conclusions:
- Long-distance road transport for neonates is feasible when managed by a qualified transport team.
- Outcomes for neonates transported over longer distances are comparable to those from shorter distances, supporting the safety of extended road transfers.
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