Subscribe to RSS
DOI: 10.1055/s-0030-1270115
Impact of Land-Based Neonatal Transport on Outcomes in Transient Tachypnea of the Newborn
Publication History
Publication Date:
17 December 2010 (online)
![](https://www.thieme-connect.de/media/ajp/201104/lookinside/thumbnails/10.1055-s-0030-1270115-1.jpg)
ABSTRACT
We sought to determine the effect of neonatal transport on the incidence of adverse events of transient tachypnea of the newborn (TTN) in term neonates. A retrospective study was performed of neonates who had TTN and were admitted to Neonatal Intensive Care Unit (NICU) of Sami Ulus Maternity, Children's Education and Research Hospital by land-based transport. Data from 208 newborns with TTN were evaluated, and clinical and laboratory findings were compared between patients who were transported from within the city (group 1) or from outside of the city (group 2). In the present study, long-distance land-based neonatal transport increased the adverse effects of TTN in newborns. Arterial blood gas parameters of the neonates in both groups before transport were similar, and these parameters and Downes' scores were comparable in both groups, implying that patients from outside the city had greater respiratory insufficiency than those from inside the city at admission to NICU. Respiratory support in the NICU and pulmonary air leak syndrome ratios were found to be significantly higher in the group from outside the city. Long-distance land-based transport in neonates with TTN increases the severity of illness. Furthermore, adverse events and the outcome of such infants depend on the effectiveness of the neonatal transport system.
KEYWORDS
Transient tachypnea of the newborn - transport - neonate
REFERENCES
- 1 Avery M E, Gatewood O B, Brumley G. Transient tachypnea of newborn. Possible delayed resorption of fluid at birth. Am J Dis Child. 1966; 111 380-385
- 2 Brice J E, Walker C H. Changing pattern of respiratory distress in newborn. Lancet. 1977; 2 752-754
- 3 Rimmer S, Fawcitt J. Delayed clearance of pulmonary fluid in the neonate. Arch Dis Child. 1982; 57 63-67
- 4 Tudehope D I, Smyth M H. Is “transient tachypnoea of the newborn” always a benign disease? Report of 6 babies requiring mechanical ventilation. Aust Paediatr J. 1979; 15 160-165
- 5 Halliday H L, McClure G, Reid M M. Transient tachypnoea of the newborn: two distinct clinical entities?. Arch Dis Child. 1981; 56 322-325
- 6 Gross T L, Sokol R J, Kwong M S, Wilson M, Kuhnert P M. Transient tachypnea of the newborn: the relationship to preterm delivery and significant neonatal morbidity. Am J Obstet Gynecol. 1983; 146 236-241
- 7 Fenton A C, Leslie A, Skeoch C H. Optimising neonatal transfer. Arch Dis Child Fetal Neonatal Ed. 2004; 89 F215-F219
- 8 Moss S J, Embleton N D, Fenton A C. Towards safer neonatal transfer: the importance of critical incident review. Arch Dis Child. 2005; 90 729-732
- 9 Rawlings J S, Smith F R. Transient tachypnea of the newborn. An analysis of neonatal and obstetric risk factors. Am J Dis Child. 1984; 138 869-871
- 10 Wiswell T E, Rawlings J S, Smith F R, Goo E D. Effect of furosemide on the clinical course of transient tachypnea of the newborn. Pediatrics. 1985; 75 908-910
- 11 Morrison J J, Rennie J M, Milton P J. Neonatal respiratory morbidity and mode of delivery at term: influence of timing of elective caesarean section. Br J Obstet Gynaecol. 1995; 102 101-106
- 12 Wood D W, Downes' J J, Locks H I. A clinical score fort he diagnosis of respiratory failure. Am J Dis Child. 1972; 123 227-229
- 13 Jain L. Alveolar fluid clearance in developing lungs and its role in neonatal transition. Clin Perinatol. 1999; 26 585-599
- 14 Department of Health .Neonatal intensive care review: strategy for improvement. Report of the Neonatal Intensive Care Services Review Group. London: DOH; 2003
- 15 Bomont R K, Cheema I U. Use of nasal continuous positive airway pressure during neonatal transfers. Arch Dis Child Fetal Neonatal Ed. 2006; 91 (Suppl F) 85-89
- 16 Chang A SM, Berry A, Sivasangari S. Speciality teams for neonatal transport to neonatal intensive care units for prevention of morbidity and mortality (Protocol). Cochrane Database Syst Rev. 2008; (4) CD007485
- 17 Singh H, Singh D, Jain B K. Transport of referred sick neonates: how far from ideal?. Indian Pediatr. 1996; 33 851-853
- 18 Sehgal A, Roy M S, Dubey N K, Jyothi M C. Factors contributing to outcome in newborns delivered out of hospital and referred to a teaching institution. Indian Pediatr. 2001; 38 1289-1294
- 19 Kumar P P, Kumar C D, Shaik F AR, Ghanta S B, Venkatalakshmi A. Prolonged neonatal interhospital transport on road: relevance for developing countries. Indian J Pediatr. 2010; 77 151-154
Belma Saygili KaragolM.D.
Mesa Koru sitesi Mimoza A blok No. 14
06830 Çayyolu/Ankara, Turkey
Email: belmakaragol@yahoo.com