Risk Assessment of Morbidity and Mortality in the Neonatal Transport

  • Geane Estevam da Silva Federal University of Rio Grande do Norte/UFRN
  • Nilba Lima de Souza Federal University of Rio Grande do Norte
  • Cecília Olívia Paraguay de Oliveira Saraiva Federal University of Rio Grande do Norte/UFRN
  • Edualeide Jeane Pereira Bulhões da Nóbrega Januário Cicco Maternity School/UFRN
  • Maria de Lourdes Costa da Silva Federal University of Rio Grande do Norte/UFRN
  • Samara Isabela Maia de Oliveira Federal University of Rio Grande do Norte/UFRN
  • Mileny Sousa Onofre Diniz Federal University of Rio Grande do Norte/UFRN

Abstract

Neonatal transport is related to risk, which destabilizes the clinical condition of the newborn. This study aimed to present the assessment of risk of morbidity and mortality of the NB during the inter- and intra-hospital transport in accordance with the TRIPS and ERTIH-Neo scores. Cross-sectional study, descriptive and retrospective, held in the year 2014 in a maternity School, located in Rio Grande do Norte. The data were from the record of 57 transports performed with newborns in the Neonatal Intensive Care Unit. The collected data were submitted to descriptive statistical analysis through absolute and relative frequencies. The results of the TRIPS was possible in only 26% of the population, the majority of the scores were higher than 10. As for intra-hospital transport, there was a predominance of newborns who had obtained a score between 16 and 20. It was concluded that the realization of transport involved risks of neonatal morbidity and mortality.

Author Biographies

Geane Estevam da Silva, Federal University of Rio Grande do Norte/UFRN

Nurse, Intensive Neonatal specialist. Federal University of Rio Grande do Norte/UFRN. Natal (RN), Brazil

Nilba Lima de Souza, Federal University of Rio Grande do Norte

Nurse, PhD in Health Sciences, Federal University of Rio Grande do Norte. Professor in the Nursing Department at UFRN. Natal (RN), Brazil

Cecília Olívia Paraguay de Oliveira Saraiva, Federal University of Rio Grande do Norte/UFRN

Nurse, PhD student of the Postgraduate program in nursing. Substitute professor at the Department of Nursing University of Rio Grande do Norte/UFRN. Natal (RN), Brazil

Edualeide Jeane Pereira Bulhões da Nóbrega, Januário Cicco Maternity School/UFRN

Nurse, Master's in Nursing, Januário Cicco Maternity School/UFRN. Natal (RN), Brazil

Maria de Lourdes Costa da Silva, Federal University of Rio Grande do Norte/UFRN

Nurse, PhD in Health Sciences, Federal University of Rio Grande do Norte. Professor in the Nursing Department at UFRN. Natal (RN), Brazil

Samara Isabela Maia de Oliveira, Federal University of Rio Grande do Norte/UFRN

Nurse, Master's Student in the Graduate Program in the Nursing Department at the Nursing University of Rio Grande do Norte/UFRN. Natal (RN), Brazil

Mileny Sousa Onofre Diniz, Federal University of Rio Grande do Norte/UFRN

Nurse, Intensive Neonatal specialist. Federal University of Rio Grande do Norte/UFRN. Natal (RN), Brazil

References

1. BRASIL. Ministério da Saúde. Atenção à saúde do recém-nascido: guia para os profissionais de saúde. 2. ed. Brasília, DF, 2012. 4 v. Available at:

2. MARBA STM, et al. Transporte do Recém-Nascido de Alto Risco: Diretrizes da Sociedade Brasileira de Pediatria. São Paulo: Sociedade Brasileira de Pediatria, 2011. 48p.

3. SOCIEDADE BRASILEIRA DE PEDIATRIA. Infraestrutura para atendimento integral ao recém-nascido, 2010. 11p. Available at: .

4. ALBUQUERQUE AMA, et al. Avaliação da conformidade do transporte neonatal para hospital de referência do Ceará. Rev. Bras. Saúde Mater. Infant. 2012; 12(1): 55-64. Available at:

5. LEE SK, et al. Transport risk index of physiologic stability: a practical system for assessing infant transport care. The J Pediatr, 2001; (139): 220-226. Available at:

6. VIEIRA ALP, et al. Predictive score for clinical complications during intra-hospital transports of infants treated in a neonatal unit. Clinical Science, 2011, 66(4): 573-577. Available at:

7. O’REILLY D, et al. Passive cooling during transport of asphyxiated term newborns. J Perinatol, 2014; 33(6):435–440. Available at:

8. STROUD MH, et al. Pediatric and Neonatal Interfacility Transport: Results From a National Consensus Conference. Pediatr, 2013; 132(2). Available at:

9. DINIZI ERS, et al. Recém-Nascido de Risco e Condições de Transporte para Unidades Neonatais de Referência. The FIEP Bulletin, 2012, v. 82. Available at:

10. BRASIL. Conselho Federal de Medicina. Resolução n. 1.672, de 9 de julho de 2003. Dispõe sobre o transporte inter-hospitalar de pacientes e dá outras providências. Available at: .

11. BRASIL. Ministério da Saúde. Portaria n. 2048, de 5 de novembro de 2002. Regulamento Técnico dos Sistemas Estaduais de Urgência e Emergência, Brasília, DF, 2002. Available at: .

12. KARLSEN KA, et al. National Survey of Neonatal Transport Teams in the United States. Pediatrics, 2011; 128(4). Available at:

13. ARAÚJO BF, et al. Effect of place of birth and transport on morbidity and mortality of preterm newborns. J Pediatr. 2011; 87(3): 257-262. Available at:

14. GOULD JB, et al. Estimating the quality of neonatal transport in California. Jornal of Perinatology, 2013; (33):964-970. Available at:

15. GOLDSMIT G, et al. Risk factors associated to clinical deterioration during the transport of sick newborn infants. Arch Argent Pediatr, 2012;110(4):304-3090.

16. Verónica RM. Transporte neonatal seguro em La población abierta del estado de Jalisco: impacto del programa S.T.A.B.L.E. em La morbilidad y mortalidade. Bol Med Hosp Infant Mex, 2011; 68(1):34-39. Available at:
Published
2017-06-21
How to Cite
DA SILVA, Geane Estevam et al. Risk Assessment of Morbidity and Mortality in the Neonatal Transport. International Archives of Medicine, [S.l.], v. 10, june 2017. ISSN 1755-7682. Available at: <http://imedicalsociety.org/ojs/index.php/iam/article/view/2699>. Date accessed: 18 aug. 2017. doi: https://doi.org/10.3823/2294.
Section
Pediatrics