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Related Concept Videos

Transport Number01:31

Transport Number

The transport number is the fraction of the total current carried by an ion in an electrolyte solution. It is defined as the ratio of the current carried by a specific ion to the total current flowing through the solution. The transport number, t, is central to understanding ionic mobility, which describes how fast an ion moves under the influence of an electric field. This link connects the physical behavior of ions in solution to the chemical processes that occur during electrochemical...

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The National Neonatal Transport Programme (NNTP) 2004-2009.

D Noone1, A Bowden, A Twomey

  • 1Department of Neonatology, National Maternity Hospital, Holles St, Dublin 2. dgnoone@gmail.com

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|December 1, 2011
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The National Neonatal Transport Programme (NNTP) data reveals that most infant transports are for premature or low-birth-weight babies, often for patent ductus arteriosus (PDA) management. Performing PDA ligations in tertiary units could reduce annual neonatal transports.

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Area of Science:

  • Neonatal care
  • Transport medicine
  • Pediatric surgery

Background:

  • The National Neonatal Transport Programme (NNTP) facilitates inter-hospital transfers for critically ill neonates.
  • Understanding transport patterns is crucial for optimizing resource allocation and patient outcomes.
  • Patent ductus arteriosus (PDA) is a common condition requiring specialized neonatal care.

Purpose of the Study:

  • To analyze the characteristics and trends of neonatal transports conducted by the NNTP between 2004 and 2009.
  • To identify the primary reasons for neonatal transfers and the demographics of transported infants.
  • To evaluate the potential impact of in-house surgical interventions on reducing transport volume.

Main Methods:

  • Retrospective analysis of NNTP transport data from 2004-2009.
  • Inclusion of 1621 recorded neonatal transports.
  • Data extraction on infant demographics, transfer type, gestational age, birth weight, and reason for transport.

Main Results:

  • The majority of transports (96%) were via ground, with 69% being forward transfers and 27.5% retrotransfers.
  • 55% of infants were born before 32 weeks gestation, and 44% weighed less than 1500 grams.
  • Patent ductus arteriosus (PDA) management was the reason for 22% of transports, with an average mobilization time of 34 minutes.

Conclusions:

  • The NNTP transports a significant number of very premature and low-birth-weight infants.
  • A substantial proportion of transports are for PDA management, suggesting a potential area for service improvement.
  • Performing PDA ligations within tertiary neonatal units could substantially decrease the annual number of neonatal transports.