Adverse Events and Associated Factors During Intrahospital Transport of Newborn Infants.

Details

Serval ID
serval:BIB_82C4223F562F
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Adverse Events and Associated Factors During Intrahospital Transport of Newborn Infants.
Journal
The Journal of pediatrics
Author(s)
Delacrétaz R., Fischer Fumeaux C.J., Stadelmann C., Rodriguez Trejo A., Destaillats A., Giannoni E.
ISSN
1097-6833 (Electronic)
ISSN-L
0022-3476
Publication state
Published
Issued date
01/2022
Peer-reviewed
Oui
Volume
240
Pages
44-50
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
To determine the frequency, type, and severity of adverse events (AEs) during intrahospital transport of newborn infants and to identify associated factors.
We conducted a prospective observational study in a tertiary care academic neonatal unit. All patients hospitalized in the neonatal unit and undergoing intrahospital transport between June 1, 2015, and May 31, 2017 were included. Transports from other hospitals and the delivery room were not included.
Data from 990 intrahospital transports performed in 293 newborn infants were analyzed. The median postnatal age at transport was 13 days (Q1-Q3, 5-44). Adverse events occurred in 25% of transports (248/990) and were mainly related to instability of cardiovascular and respiratory systems, agitation, and temperature control. Adverse events were associated with no harm in 207 transports (207/990, 21%), mild harm in 37 transports (37/990, 4%), and moderate harm in 4 transports (4/990, 0.4%). There was no severe or lethal adverse event. Hemodynamic support with catecholamines, the presence of a central venous catheter, and a longer duration of transport were independent predictors for the occurrence of adverse events during transport.
Intrahospital transports of newborns are associated with a substantial proportion of adverse events of low-to-moderate severity. Our data have implications to inform clinical practice, for benchmarking and quality improvement initiatives, and for the development of specific guidelines.
Keywords
adverse event, infant, intensive care, intra-hospital, neonate, safety, transport, intrahospital
Pubmed
Open Access
Yes
Create date
04/10/2021 13:41
Last modification date
05/01/2022 7:36
Usage data