[Interhospital transportation of children from paediatric intensive care units within a major region].
The activity of a regional reanimation-and-consultation center (RCC) related with transportation of 3219 children (79.5% of them were newborns) is summarized in the paper. The share of children assigned for artificial lung ventilation (ALV) increased from 50.8% to 82.6%, while the lethality rate dropped from 12.8% to 6.9%. The above results were enabled by a maximally early re-hospitalization of patients from therapeutic-and-prevention facilities (TPF) with limited medical care abilities and by early preparations (for transportation) by using the DINAR-2 expert system. The children were transported only after the main vitally important systems had been compensated for and with support of an adequate intensive care therapy. Should the above principles be met, the specialized therapy could be started at he earliest possible time; it promoted the therapy quality and cut the patients' stay in intensive care units.
Kazakov
D P
DP
Egorov
V M
VM
Devaĭkin
E V
EV
Mukhametshin
F G
FG
D006767:Hospitals, District; D006776:Hospitals, Pediatric; D006801:Humans; D007226:Infant Mortality / Q000639:trends; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000453:epidemiology; D007234:Infant, Premature / Q000502:physiology*; D007363:Intensive Care Units, Neonatal; D007902:Length of Stay; D008991:Monitoring, Physiologic; D012041:Regional Medical Programs; D012426:Russia / Q000453:epidemiology; D014187:Transportation of Patients / Q000379:methods* / Q000592:standards