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Long-distance transports of newborn infants with congenital heart disease

Hellström-Westas, Lena LU ; Hanséus, Katarina LU ; Jögi, Peeter LU ; Lundström, Nils Rune LU and Svenningsen, N (2001) In Pediatric Cardiology 22(5). p.380-384
Abstract
Little has been published about specific problems that may occur during long-distance transports of newborn cardiac patients. During a 4-year period after centralization of pediatric heart surgery in Sweden, 286 transports were prospectively investigated. A majority (77.3%) of the transports were carried out by nonspecialized teams. Ten severe adverse events, including the death of 1 infant, occurred during the 286 transports (3.5%). Another infant died later of cerebral complications from hypoxia, rendering a transport-related mortality of 0.7%. Twenty-two infants (7.7%) were severely hypoxic (oxygen saturation < or =65%) at arrival, and 12 of these infants suffered from transposition of the great arteries. During the second 2-year... (More)
Little has been published about specific problems that may occur during long-distance transports of newborn cardiac patients. During a 4-year period after centralization of pediatric heart surgery in Sweden, 286 transports were prospectively investigated. A majority (77.3%) of the transports were carried out by nonspecialized teams. Ten severe adverse events, including the death of 1 infant, occurred during the 286 transports (3.5%). Another infant died later of cerebral complications from hypoxia, rendering a transport-related mortality of 0.7%. Twenty-two infants (7.7%) were severely hypoxic (oxygen saturation < or =65%) at arrival, and 12 of these infants suffered from transposition of the great arteries. During the second 2-year period increased use of intravenous prostaglandin E1 and transportation from tertiary-level units was associated with better transport outcome. During the same time period, overall 30-day postoperative mortality for pediatric cardiac surgery decreased from 4.0% to 1.2% in our hospital. When highly specialized treatment is centralized for quality reasons it is also important that risks associated with transport are considered and that the quality of transport is high. For some cardiac malformations antenatal diagnosis and referral of the mother for delivery to a center with pediatric cardiac surgery would probably further increase the chance of healthy survival in some infants. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Newborn, Transport, Congenital heart malformation, Heart surgery
in
Pediatric Cardiology
volume
22
issue
5
pages
380 - 384
publisher
Springer
external identifiers
  • pmid:11526410
  • scopus:0034869532
ISSN
0172-0643
DOI
10.1007/s002460010254
language
English
LU publication?
yes
id
ae8fc3e5-4b9d-431c-9ffe-f268f3e5b347 (old id 1119944)
date added to LUP
2008-06-30 14:01:35
date last changed
2018-07-29 03:33:58
@article{ae8fc3e5-4b9d-431c-9ffe-f268f3e5b347,
  abstract     = {Little has been published about specific problems that may occur during long-distance transports of newborn cardiac patients. During a 4-year period after centralization of pediatric heart surgery in Sweden, 286 transports were prospectively investigated. A majority (77.3%) of the transports were carried out by nonspecialized teams. Ten severe adverse events, including the death of 1 infant, occurred during the 286 transports (3.5%). Another infant died later of cerebral complications from hypoxia, rendering a transport-related mortality of 0.7%. Twenty-two infants (7.7%) were severely hypoxic (oxygen saturation &lt; or =65%) at arrival, and 12 of these infants suffered from transposition of the great arteries. During the second 2-year period increased use of intravenous prostaglandin E1 and transportation from tertiary-level units was associated with better transport outcome. During the same time period, overall 30-day postoperative mortality for pediatric cardiac surgery decreased from 4.0% to 1.2% in our hospital. When highly specialized treatment is centralized for quality reasons it is also important that risks associated with transport are considered and that the quality of transport is high. For some cardiac malformations antenatal diagnosis and referral of the mother for delivery to a center with pediatric cardiac surgery would probably further increase the chance of healthy survival in some infants.},
  author       = {Hellström-Westas, Lena and Hanséus, Katarina and Jögi, Peeter and Lundström, Nils Rune and Svenningsen, N},
  issn         = {0172-0643},
  keyword      = {Newborn,Transport,Congenital heart malformation,Heart surgery},
  language     = {eng},
  number       = {5},
  pages        = {380--384},
  publisher    = {Springer},
  series       = {Pediatric Cardiology},
  title        = {Long-distance transports of newborn infants with congenital heart disease},
  url          = {http://dx.doi.org/10.1007/s002460010254},
  volume       = {22},
  year         = {2001},
}