title: [Application of regionalized critical neonatal emergency transport system].
abstract: OBJECTIVE
  To study the application of the regional critical neonatal emergency transport system (NETS) to provide evidence for the optimization of NETS in Beijing.
  
  
  METHODS
  All the transported neonates in four hospitals in Haidian District, Beijing, between January 2009 and September 2010 were enrolled. The relevant clinical information of two referral hospitals was analyzed.
  
  
  RESULTS
  The top three conditions requiring transport were pre-term delivery, diseases requiring surgical treatment, and respiratory diseases, which accounted for 33.1%, 18.3%, and 14.8%, respectively. Active transport was performed in 95 cases (66.9%) and passive transport in 47 cases (33.1%). The age distribution of the neonates requiring transport was as follows: <6 hrs after birth (24.1%); 6-12 hrs (9.3%); 12-24 hrs (25.9%); and >24 hrs (40.8%). The mean time for transport from the hospital to a referral ward by ambulance was 28.0±11.1 minutes. Diseases requiring emergency surgical treatment were the leading cause of death, accounting for 53.8% of total deaths. The mortality rate was not significantly different between the neonates aged <6 hrs and ≥6 hrs groups.
  
  
  CONCLUSIONS
  Active transport remains the main transport pattern among these four hospitals. Neonates requiring surgical treatment have a high mortality rate, and thus special attention should be paid to their transport.
authors.affiliation: Department of Pediatrics, 302 Military Hospital of China, Beijing, China.
authors.forename: Xue-Feng
authors.initials: XF
authors.lastname: Zhang
authors.forename: Ying
authors.initials: Y
authors.lastname: Li
authors.forename: Gui-Hua
authors.initials: GH
authors.lastname: Xiao
authors.forename: Wen-Xia
authors.initials: WX
authors.lastname: Dai
authors.forename: Tian-Cheng
authors.initials: TC
authors.lastname: Wang
authors.forename: Hui
authors.initials: H
authors.lastname: Liu
authors.forename: Cui-Ping
authors.initials: CP
authors.lastname: Ding
authors.forename: Xiao-Mei
authors.initials: XM
authors.lastname: Tong
authors.forename: Hui-Li
authors.initials: HL
authors.lastname: Liu
authors.forename: Zhi-Chun
authors.initials: ZC
authors.lastname: Feng
authors.forename: Yin-Zhu
authors.initials: YZ
authors.lastname: Zhao
authors.forename: Ling-Ling
authors.initials: LL
authors.lastname: Xiao
authors.forename: Ping
authors.initials: P
authors.lastname: Xu
authors.forename: Xing-Yu
authors.initials: XY
authors.lastname: Wang
mesh_terms: D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D012017:Referral and Consultation; D013997:Time Factors; D014187:Transportation of Patients