title: Impact of land-based neonatal transport on outcomes in transient tachypnea of the newborn.
abstract: We sought to determine the effect of neonatal transport on the incidence of adverse events of transient tachypnea of the newborn (TTN) in term neonates. A retrospective study was performed of neonates who had TTN and were admitted to Neonatal Intensive Care Unit (NICU) of Sami Ulus Maternity, Children's Education and Research Hospital by land-based transport. Data from 208 newborns with TTN were evaluated, and clinical and laboratory findings were compared between patients who were transported from within the city (group 1) or from outside of the city (group 2). In the present study, long-distance land-based neonatal transport increased the adverse effects of TTN in newborns. Arterial blood gas parameters of the neonates in both groups before transport were similar, and these parameters and Downes' scores were comparable in both groups, implying that patients from outside the city had greater respiratory insufficiency than those from inside the city at admission to NICU. Respiratory support in the NICU and pulmonary air leak syndrome ratios were found to be significantly higher in the group from outside the city. Long-distance land-based transport in neonates with TTN increases the severity of illness. Furthermore, adverse events and the outcome of such infants depend on the effectiveness of the neonatal transport system.
authors.affiliation: Division of Neonatology, Sami Ulus Maternity, Children's Education and Research Hospital, Ankara, Turkey. belmakaragol@yahoo.com
authors.forename: Belma Saygili
authors.initials: BS
authors.lastname: Karagol
authors.forename: Aysegul
authors.initials: A
authors.lastname: Zenciroglu
authors.forename: Mehmet Sah
authors.initials: MS
authors.lastname: Ipek
authors.forename: Ahmet Afsin
authors.initials: AA
authors.lastname: Kundak
authors.forename: Nurullah
authors.initials: N
authors.lastname: Okumus
mesh_terms: D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001784:Blood Gas Analysis; D045422:Continuous Positive Airway Pressure; D005260:Female; D006297:Health Services Accessibility / Q000706:statistics & numerical data*; D006801:Humans; D015994:Incidence; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D010100:Oxygen / Q000008:administration & dosage; D010360:Patient Transfer; D011030:Pneumothorax / Q000453:epidemiology / Q000209:etiology*; D012044:Regression Analysis; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications / Q000628:therapy*; D012189:Retrospective Studies; D012424:Rural Population / Q000706:statistics & numerical data*; D012720:Severity of Illness Index; D013997:Time Factors; D014505:Urban Population / Q000706:statistics & numerical data*
chemical_list: D000900:Anti-Bacterial Agents; D010100:Oxygen