数字化区域性危重新生儿转运网络建设成效分析

Construction of digitalized regional network for transportation of critically ill neonates: an effectiveness analysis

目的:探索数字化区域性危重新生儿转运网络建设,为危重新生儿转运寻找一种有效的运行模式。方法:建立以我院新生儿重症监护室(NICU)为中心,宜宾市所有相关医院参与的转运网络。将2014年6月至2016年5月建立数字化区域性危重新生儿转运网络后转运的新生儿350人作为观察组,将2009年3月至2011年5月网络建成前转运的新生儿300人作为对照组,统计2组年龄分布、危重病例比例、病种分布和转运的其他结果。结果:2组患者在年龄分布、危重病例比例、病种分布方面均无显著性差异。观察组转运中死亡率、途中意外率显著性低于对照组,转运平均反应时间显著性短于对照组,得到及时恰当处理率显著性高于对照组,观察组满意率显著性高于对照组。结论:数字化区域性危重新生儿转运网络能改善危重新生儿的转运结果。

Objective： To explore the construction of digitalized regional network for the transportation of critically ill neonates in an attempt to find an effective mode for their transportation. Methods： Taking the neonatal intensive care unit（ NICU） in our hospital as the center,the transportation network was established including all the related hospitals in Yibin. From June 2014 to May 2016,350 neonates transported after the construction of digitalized regional transport network were enrolled as observation group; from March 2009 to May 2011,300 neonates transported before the construction of this network were enrolled as control group. The age distribution,the proportion of critically ill cases,the disease distribution and transport-related results were statistically analyzed. Results： There were no significantly differences in the age distribution,the proportion of critically ill cases,and the distribution of diseases between the two groups. However,the observation group showed lower transport mortality and accidental rate on the way,shorter average reaction time of transportation,higher timely appropriate treatment rate and satisfaction rate than the control group. Conclusion： The digitalized regional network for the transportation of critically ill neonates can improve the transport outcome in critically ill neonates.