PMID- 34480917
OWN - NLM
STAT- MEDLINE
DCOM- 20220221
LR  - 20220221
IS  - 1097-6833 (Electronic)
IS  - 0022-3476 (Linking)
VI  - 240
DP  - 2022 Jan
TI  - Adverse Events and Associated Factors During Intrahospital Transport of Newborn 
      Infants.
PG  - 44-50
LID - S0022-3476(21)00859-3 [pii]
LID - 10.1016/j.jpeds.2021.08.074 [doi]
AB  - OBJECTIVE: To determine the frequency, type, and severity of adverse events (AEs) 
      during intrahospital transport of newborn infants and to identify associated 
      factors. STUDY DESIGN: 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. RESULTS: 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. CONCLUSIONS: 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.
CI  - Copyright (c) 2021 The Author(s). Published by Elsevier Inc. All rights reserved.
FAU - Delacretaz, Romaine
AU  - Delacretaz R
AD  - Department of Pediatrics, eHnv Yverdon-les-Bains, Yverdon-les-Bains, Switzerland; 
      Department Mother-Woman-Child, Clinic of Neonatology, Lausanne University 
      Hospital and University of Lausanne, Lausanne, Switzerland.
FAU - Fischer Fumeaux, Celine J
AU  - Fischer Fumeaux CJ
AD  - Department Mother-Woman-Child, Clinic of Neonatology, Lausanne University 
      Hospital and University of Lausanne, Lausanne, Switzerland.
FAU - Stadelmann, Corinne
AU  - Stadelmann C
AD  - Department Mother-Woman-Child, Clinic of Neonatology, Lausanne University 
      Hospital and University of Lausanne, Lausanne, Switzerland.
FAU - Rodriguez Trejo, Adriana
AU  - Rodriguez Trejo A
AD  - Mother-Child Research Unit, Department Mother-Woman-Child, Lausanne University 
      Hospital and University of Lausanne, Lausanne, Switzerland.
FAU - Destaillats, Alice
AU  - Destaillats A
AD  - Mother-Child Research Unit, Department Mother-Woman-Child, Lausanne University 
      Hospital and University of Lausanne, Lausanne, Switzerland.
FAU - Giannoni, Eric
AU  - Giannoni E
AD  - Department Mother-Woman-Child, Clinic of Neonatology, Lausanne University 
      Hospital and University of Lausanne, Lausanne, Switzerland. Electronic address: 
      Eric.Giannoni@chuv.ch.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20210901
PL  - United States
TA  - J Pediatr
JT  - The Journal of pediatrics
JID - 0375410
SB  - IM
MH  - *Critical Illness
MH  - Female
MH  - Humans
MH  - Infant, Newborn
MH  - Male
MH  - Patient Safety
MH  - *Patient Transfer
MH  - Prospective Studies
MH  - Switzerland
OTO - NOTNLM
OT  - adverse event
OT  - infant
OT  - intensive care
OT  - intrahospital
OT  - neonate
OT  - safety
OT  - transport
EDAT- 2021/09/05 06:00
MHDA- 2022/02/22 06:00
CRDT- 2021/09/04 20:11
PHST- 2021/04/13 00:00 [received]
PHST- 2021/08/19 00:00 [revised]
PHST- 2021/08/25 00:00 [accepted]
PHST- 2021/09/05 06:00 [pubmed]
PHST- 2022/02/22 06:00 [medline]
PHST- 2021/09/04 20:11 [entrez]
AID - S0022-3476(21)00859-3 [pii]
AID - 10.1016/j.jpeds.2021.08.074 [doi]
PST - ppublish
SO  - J Pediatr. 2022 Jan;240:44-50. doi: 10.1016/j.jpeds.2021.08.074. Epub 2021 Sep 1.