Elective transfers of preterm neonates to regional centres on non-invasive respiratory support is cost effective and increases tertiary care bed capacity
| Autor: | Hussein Zein, Derek Kowal, Kamran Yusuf, Sumesh Thomas, Renee Paul |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Patient Transfer Pediatrics medicine.medical_specialty health care facilities manpower and services medicine.medical_treatment Tertiary care Tertiary Care Centers 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Intensive care Intensive Care Units Neonatal medicine Humans 030212 general & internal medicine Continuous positive airway pressure Adverse effect Secondary Care Centers Retrospective Studies Continuous Positive Airway Pressure business.industry Non invasive Infant Newborn Gestational age General Medicine Bed capacity Respiratory support Transportation of Patients Hospital Bed Capacity Pediatrics Perinatology and Child Health Female business Infant Premature |
| Zdroj: | Acta paediatrica (Oslo, Norway : 1992). 107(1) |
| ISSN: | 1651-2227 |
| Popis: | Aim Managing capacity at regional facilities caring for sick neonates is increasingly challenging. This study estimated the clinical and economic impact of the elective transfer of stable infants requiring nasal continuous positive airway pressure (NCPAP) from level three to level two neonatal intensive care units (NICUs) within an established clinical network of five NICUs. Methods We retrospectively analysed the records of 99 stable infants transferred on NCPAP between two level three NICUs and three level two NICUs in Calgary, Canada, between June 2014 and May 2016. Results The median gestational age and weight at birth were 28 weeks and 955 grams and the median corrected gestational age and weight at transfer were 33 weeks and 1,597 grams respectively. This resulted in cost savings of $2.65 million Canadian dollars during the two-year study period and 848 level three NICU days were free up for potentially sick neonates. There were no adverse events associated with the transfers. Conclusion The elective transfer of stable neonates on NCPAP from level three to level two NICUs within an established clinical network led to substantial cost savings, was safe and increased the bed capacity at the two level three NICUs. This article is protected by copyright. All rights reserved. |
| Databáze: | OpenAIRE |
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