Mortality Risk Factors in Neonates Requiring Interhospital Transport
| Autor: | R. F. Mukhametshin, O. P. Kovtun, N. S. Davydova, A. A. Kurganski |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | General Reanimatology. 19:23-32 |
| ISSN: | 2411-7110 1813-9779 |
| Popis: | Objective. To identify predictors of newborn infants mortality before medical evacuation.Materials and methods. The observational, cohort, retrospective study included 564 newborns: 526 patients survived and 38 died after 604 visits of the resuscitation-consultation Center transport team (critical care transport — CCT team). Patient's anamnesis, objective data of a patient at the time of examination by CCT team, the volume of intensive care provided and treatment adjustments during preparation for the transfer, records of patient's monitored parameters and indicators of prognosis were analyzed.Results. Compared to survivors, non-survivors neonates exhibited significant increases in premature new-borns (gestation period PP=0.005), and in cate-cholamines support (use of adrenaline was 13.51% [4.54-28.77] in non-survivors vs 0.76% [0.21-1.94] in survivors, PP=0.002) and (23.6% 8 [11.44-40.24] vs 10.46% [7.97-13.39], late infection, non-survivors vs. survivors, respectively, P=0.028). Significant differences in the fraction of inspired oxygen (30% [30-30] vs 45% [30-60], PP2/FiO2 ratio (316.67 [313.33-320] vs 207.25 [151.67-313.33] PConclusion. Low birth weight, development of early or late neonatal infection and an increase in the oxygenation saturation index are the risk factors of death in newborns requiring medical evacuation. |
| Databáze: | OpenAIRE |
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