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Updated: Dec 25, 2025
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Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
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Interfacility Neonatal Transport for Convalescent Care: Improving Regionalized Care
Yoshio Shima1, Shohei Matsukawa1, Kentaro Yashiro1
1Department of Neonatal Medicine, Nippon Medical School Musashi Kosugi Hospital.
Summary
Interfacility neonatal transport facilitates efficient bed use in neonatal intensive care units (NICUs) by transferring infants needing less specialized care. This practice bridges care gaps between facilities and homes.
Area of Science:
- Neonatal Medicine
- Healthcare Management
- Pediatric Transport
Background:
- Tertiary neonatal intensive care units (NICUs) can improve bed efficiency by transferring stable infants to community facilities.
- This process supports optimal resource allocation within specialized neonatal care settings.
Purpose of the Study:
- To evaluate the impact of interfacility neonatal transport for convalescent care.
- To understand the role of neonatal transport in bridging care levels.
Main Methods:
- Retrospective analysis of 1,503 infant records admitted to a NICU over a 6-year period (April 2013 - March 2019).
- Examined infant transfers both into and out of the NICU for convalescent care.
Main Results:
- The NICU accepted 33 infants and transferred 103 infants for convalescent care.
- Infants transferred out accounted for 39% of total hospital days for accepted infants.
- Most infants transferred out (81%) were born to high-risk mothers transferred for delivery; 94% of infants born elsewhere returned to their referring facility.
Conclusions:
- Interfacility neonatal transport is crucial for NICU practice, connecting high-level care with home environments.
- Developing clear transfer criteria and resource allocation strategies is essential for effective implementation.
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