medigraphic.com
ISSN 1560-4381 (Print)

2015, Number 1

<< Back Next >>

Correo Científico Médico 2015; 19 (1)

Evaluation of the transfer results of the newborn with surgical treatment

Camué LR, Trinchet SRM, Hidalgo MY, Velázquez RG, Ellis-Davy JJ

Language: Spanish
References: 15
Page: 51-62
PDF size: 388.87 Kb.


ABSTRACT

Introduction: the surgical newborn often requires to be sent to specialized centers incharge of this specific care in the region.
Objective: to assess the transfer influence on prognosis of neonates undergoing surgery at the Regional Surgical Newborn Center of Octavio de la Concepcion de la Pedraja Pediatric Hospital of Holguin.
Method: a descriptive study was done from January 2010 to December 2012 and a protocol was set up to improve the surgical newborns’ movement.
Results: one hundred and thirty nine (139) newborns with surgical diseases were sent to the above mentioned center, which were from eastern provinces and from Holguin. The predominant age was from one to seven days of both sexes (56.1 %) and in general the survival achieved was of 87.0 % and 5.0 % of mortality during the first 48 hours. The province which predominated regarding the transfer was Holguin. There were no great differences in clinical conditions between the cases which were transferred to and the ones that received the patients; nevertheless, the records were insufficient. Regarding the diagnostic correlation between the emissor and the receiver center, the irregularities prevailed on the complex malformations of occlusive syndrome, with wrong diagnosis in 16 patients. Sepsis was the direct cause of death in most of cases.
Conclusions: the results of transfer were assessed as acceptable, although the harmful and deficient transfer influenced on the mortality in the first 48 hours.


REFERENCES

  1. Ratnavel N. Evaluating and improving neonatal transport services. Early Hum Dev. 2013; 89(11):851-3. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/24094330

  2. Piña Yáñez Y. Manejo del recién nacido quirúrgico. Guías de diagnóstico y tratamiento del Servicio de Neonatología. Hospital San Juan de Dios. Chile: La corona; 2006. Disponible en: http://www.scribd.com/doc/131989615/Guias-de-diagnostico-y-tratamiento-del-Servicio-de-Neonatologia-Hospital-San-Juan-de-Dios

  3. Morillo A, Thió M, Alarcón A, Esqué MT. Transporte neonatal. Protocolos Diagnóstico Terapeúticos de la AEP: Neonatología. Protocolos actualizados al año 2008. Asoc Española Ped.2008 [citado 23 jul 2008]; 3(5) Disponible en: http://www.aeped.es/sites/default/files/documentos/1_1.pdf

  4. Thió M, Esqué M. Transporte Neonatal. En: De guardia en Neonatología. 2ª ed. Barcelona: Ergon. 2008. p.157-165.

  5. Morales de Casallas I. Actualización: Transporte del ser humano en etapa fetal y neonatal sección II. Seguimiento y Tratamiento de Niños de Alto Riesgo Perinatal y Posterior Clínica Universitaria Juan N. Corpas. Rev Actual Pediat. 2007. [citado 23 jul 2013]; 13(1). Disponible en: http://www.encolombia.com/medicina/revistas-medicas/act-pediatricas/volap-13

  6. Novoa JM, Milad M, Vivanco G, Fabres J, Ramírez R. Recomendaciones de organización, características y funcionamiento en servicios o unidades de neonatología. Rev Chil Pediatr. 2009[citado 23 jun 2011]; 80 (2): 168-187. Disponible en: http://www.scielo.cl/pdf/rcp/v80

  7. Domínguez Dieppa F. Cuidados Intensivos Neonatales: Organización y resultados alcanzados en Cuba. Rev Salud Cuba y el mundo. 2008 [citado 23 jun 2011]; 3 (1):1-9. Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?method=showDetail&

  8. Guerra O. Afecciones quirúrgicas complejas en el centro regional de cirugía neonatal oriental 2007-2011. (Tesis). Holguín: Hospital Pediátrico Octavio de la Concepción de la Pedraja; 2012.

  9. Nocetti Fasolino M, Pooli L, Orsini J, Martín MT. 1000 Egresos en Neonatología Hospital. General de Niños Pedro de Elizalde. Unidad de Cuidados Intensivos e Intermedios Neonatales. Rev Med. 2002[citado 23 jul 2013]; 1. Disponible en: http://webcache.googleusercontent.com

  10. Society of Critical Care Medicine. Pediatric critical care medicine: a journal of the Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies. Baltimore: Lippincott Williams & Wilkins; 2008 [citado 28 abr 2014] Disponible en: http://www.ncbi.nlm.nih.gov/nlmcatalog/?term=A+Journal+of+the+Society+of+Critical+Care

  11. Rennie Jane M. Textbook of Neonatology. 5 ed. London: Elsevier; 2012.

  12. Kokangul A, Ozkan A, Akcan S, Ozcan K, Narli M. Statistical Analysis of Patients’ Characteristics in Neonatal Intensive Care Units. J Med Syst. 2010. [citado 23 feb 2012]; 34(4):4-6.Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/20703900

  13. Honey G, Bleak T, Karp T, MacRitchie A, Null D. Use of the Duotron Transporter High Frequency Ventilator During Neonatal Transport. Neonatal Netw. 2007[citado 23 feb 2012]; 26(3): 10-13. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/17521064

  14. Kissoon N, Argent A, Devictor D. World Federation of Pediatric Intensive and Critical Care Societies Its global agenda. Pediatric Critical Care Medicine. 2009[citado 23 feb 2012]; 10(5):597-600. Disponible en: http://www.ncbi.nlm.nih.gov/pubmed/19451845

  15. Skeoch CH, Jackson L, Wilson AM. Fit to fly: practical challenges in neonatal transfer by air. Arch Dis Child Fetal Neonatal. 2005[citado 24 abr 2012]; 2890:456-46. Disponible en: http://fn.bmj.com/content/90/6/F456.long




2020     |     www.medigraphic.com