Publication: Yenidoğan Transport Hizmetlerinde Mevcut Durum ve Transport Fizyolojik Stabilite Risk İndeks DEğerlendirmesi
Abstract
1.ÖZET Yenidoğan Transport Hizmetlerinde Mevcut Durum ve Transport Fizyolojik Stabilite Risk İndeks Değerlendirmesi Çalışma yenidoğan transport hizmetlerinde mevcut durumu saptamak ve transport fizyolojik stabilite risk indeks (TRIPS) skorunu değerlendirmek amacıyla tanımlayıcı ve analitik olarak planlanmıştır. Veriler İstanbul il sınırları içinde, ventilatör desteği sağlayabilen, en az 5 yatak kapasitesi olan ve dışardan yenidoğan transportunu kabul eden toplam 12 hastanede, Ocak-Temmuz 2007 tarihleri arasında toplanmış olup 190 yenidoğan transportu incelenmiştir. Bulgular: Yenidoğanların sevk nedeni olarak %60.00 “yer olmaması”, kabul tanısı olarak ise; %40.52 “preterm+ek sorun ve %28.95 solunum sorunları ilk sırada yer almıştır. Çalışmada transport aracı olarak %87.90 ambulans kullanılmış olup, %44.74’ünde epikriz verilmişti. Ambulansta transport küvözü bulunma oranı %82.63, hemşire bulunma oranı %76.65’tir. Transport edilen bebeklerin YYBÜ’ne kabulü esnasında damar yolu açıklığı %68.42, entübasyon %25.79 sağlanmış olup girişimlerin tamamı gönderen hastanede uygulanmıştır. Yenidoğanların TRIPS skor puan dağılımlarında; vücut ısısına göre yüksek risk oranı %53.13, solunum durumuna göre yüksek risk oranı %41.25’tir. Transport sonrası toplam TRIPS puanlarına göre mortalite risk dağılımları; %36.88 yüksek riskli, %21.87 orta riskli olarak bulunmuştur. Sonuç:Yenidoğan transport organizasyonu için her bölgenin özelliklerine göre sistem kurulması göz önüne alındığında; sistematik veri toplamayı, analiz etmeyi, transportu ve ekibin performansını değerlendirmeyi kolaylaştıran TRIPS skorlama sisteminin kullanılmasını önermekteyiz.
Actual Conditions at Neonatal Transport Services and Transport Risk Index Physiologic Stability Assessment Objective and Subject: Study planned descriptive and analytic in order to aim actual condition neonatal transport services and Transport Risk Index Physiologic Stability (TRIPS) assessment. Data collected between January and July 2007, where 12 private hospitals in Istanbul that can provide ventilator support with a capacity at least 5 beds and received neonatal transport from the outside hospital. 190 neonatal transports are examined. Result: First rank that reference cause “haven’t place” (%60), admission diagnosis “preterm+problem” (%40.52) and respiration problems (%28.95). In study to transport vehicle had %87.90 ambulance and patient report had given %44.74. The rate of transport incubator use in ambulance; %82.63, accompanied by nurse rate in ambulance is %76.65. %68.42 of transported infants was provide intravenous lines and %25.79 had intubated that all of them performed at referral hospital. High risk rate according to temperature %53.13, high risk rate according to respiratory state %41.25 at TRIPS score distribution of newborns. Mortality risk distribution according to post-transport total TRIPS score was obtained %36.88 high risky, %21.82 moderate risky. Conclusion: We suggestion which can use TRIPS score system that facilitated systematical data collect, analysis, assessment transport and team performance when in view of the fact that establish system according to each regional for neonatal transport organization.
Actual Conditions at Neonatal Transport Services and Transport Risk Index Physiologic Stability Assessment Objective and Subject: Study planned descriptive and analytic in order to aim actual condition neonatal transport services and Transport Risk Index Physiologic Stability (TRIPS) assessment. Data collected between January and July 2007, where 12 private hospitals in Istanbul that can provide ventilator support with a capacity at least 5 beds and received neonatal transport from the outside hospital. 190 neonatal transports are examined. Result: First rank that reference cause “haven’t place” (%60), admission diagnosis “preterm+problem” (%40.52) and respiration problems (%28.95). In study to transport vehicle had %87.90 ambulance and patient report had given %44.74. The rate of transport incubator use in ambulance; %82.63, accompanied by nurse rate in ambulance is %76.65. %68.42 of transported infants was provide intravenous lines and %25.79 had intubated that all of them performed at referral hospital. High risk rate according to temperature %53.13, high risk rate according to respiratory state %41.25 at TRIPS score distribution of newborns. Mortality risk distribution according to post-transport total TRIPS score was obtained %36.88 high risky, %21.82 moderate risky. Conclusion: We suggestion which can use TRIPS score system that facilitated systematical data collect, analysis, assessment transport and team performance when in view of the fact that establish system according to each regional for neonatal transport organization.