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Effect Analysis of In-Hospital Transfer Care Based on STABLE Technology in Critically Ill Newborns
Li Fang1, Jiaoru Pei1, Siqiong Jiang1
1Department of Pediatrics, Shanghai Jiao Tong University Affiliated Six People's Hospital, Shanghai 200233, China.
Summary
The STABLE (sugar and safe care, temperature, airway, blood pressure, lab work, emotional support) technique improved in-hospital transfer care for critically ill neonates. This method reduced transfer time and adverse events, enhancing infant stability and family satisfaction.
Area of Science:
- Neonatal intensive care
- Pediatric emergency medicine
- Healthcare quality improvement
Background:
- Critically ill neonates require specialized in-hospital transfer care.
- The STABLE technique is a framework for neonatal resuscitation and stabilization.
- Optimizing transfer protocols is crucial for improving neonatal outcomes.
Purpose of the Study:
- To evaluate the effectiveness of in-hospital transfer care using the STABLE technique for critically ill neonates.
- To compare outcomes between neonates receiving STABLE-based care and those receiving conventional resuscitation during transfer.
Main Methods:
- Retrospective analysis of 180 critically ill neonates transferred to the NICU.
- Control group (88 neonates) received conventional resuscitation.
- Intervention group (92 neonates) received STABLE-based transfer care by specialized nurses.
- Assessed transfer procedure efficiency, in-transit accidents, and neonatal physiological parameters post-transfer.
Main Results:
- Higher execution pass rates and shorter transfer times in the STABLE group.
- Lower incidence of in-transit accidents in the STABLE group.
- Improved stability of blood glucose, blood pressure, body temperature, respiration, and blood gas indicators in the STABLE group.
- Increased family satisfaction in the STABLE group.
Conclusions:
- In-hospital transfer care based on the STABLE technique enhances the quality and efficiency of neonatal transfers.
- This approach leads to improved infant physiological stability and reduced adverse events.
- The STABLE technique is valuable for improving emergency response capabilities and family satisfaction during neonatal transfers.
