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Abstract [Full-Text PDF] [Macedonian Abstract] [OnlineFirst Full-Text PDF]
Macedonian Journal of Medical Sciences. 2009 Jun 15; 2(2):145-148. doi:10.3889/MJMS.1857-5773.2009.0041 Clinical Science
Audit of Premature Infants and Critically Ill Neonates Requiring Ex-Utero Transport by the First Macedonian Neonatal Emergency Transport Service: A Retrospective Descriptive Study Aspazija Sofijanova, Aleksandar Sajkovski, Dushko Fidanovski, Antonio Hristovski, Ljiljana Koich Clinic for Childrens Diseases, Faculty of Medicine, University "Ss Kiril and Metodij", Skopje, Republic of Macedonia
Background. Outcome for high-risk infants transferred in-utero is
reported as better than the outcome of infants transferred after birth.
Aim. The aim of this study is to present the first Macedonian neonatal
emergency transport service in the frame of the neonatal intensive care unit
at the Pediatric University Hospital in Skopje.
Material and methods. The first Macedonian NETS is working since 2002 in
the frame of the NICU in the Pediatric Hospital in Skopje. It provides
transport with Ginevri shuttle and transport vehicle for the premature and
critically ill neonates in Macedonia. We audited the NETS records of all
premature infants and critically ill neonates in a non-tertiary centers
requiring the mini-hospital transfer at NICU from January 2002 until
December 2008.
Results. 430 infants were transferred during a 7 year period. The
overall survival was 60%. Of the 81 babies known to have died, 10 died
during the first 24h after admission to Level 3 and the rest of them either
from complicated surgery or from another pathological cause. None of them
died while the team was en route or during primary stabilisation.
Conclusion. The survival outcome for the premature babies and critically
ill neonates requiring ex-utero transfer appears to be worse compared to
those in tertiary units. But given the unique opportunity with this transfer
the overall survival of those infants who would have died anyway in the past
has decreased and sequentially the mortality rate in Macedonia.
Key words: Ex-utero transfer; transport service; premature infants; audit; survival rate. |
Publication of the MJMS is supported by
the
Macedonian
Ministry of Education and
Sciences.
Publisher: Institute of Immunobiology and Human Genetics, Skopje, Republic of Macedonia. |
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MJMS
Print
(ISSN 1857-5749) is an international peer-reviewed, Open
Access journal published four times per year. MJMS Online (ISSN 1857-5773) offers free access to all articles at http://www.mjms.ukim.edu.mk/. |
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