title: [Assessment of therapeutic passive hypothermia in newborns with hypoxic-ischemic encephalopathy that need interhospital transport].
abstract: BACKGROUND
  Induced hypothermia for the first hours of life in a newborn is an effective treatment to reduce mortality and serious effects in neonates that had suffered a hypoxia episode. This method needs an universal attendance independently of the place of birth being usually necessary a transfer to the reference hospital.
  
  
  OBJECTIVE
  To analyze the efficacy of the newborn with hypoxic-ischemic encephalopathy transfer in passive hypothermia.
  
  
  METHODS
  Descriptive study of series of cases with retrospective character of newborn from Cadiz's province that need induced hypothermia. 46 newborn were included in the study: 33 of them (71.74%) needed being transfer by the Critical Patients Transport service (CPT group), the rest (28.26%) were born into the reference hospital.
  
  
  RESULTS
  Both groups are similar in age gestational at birth, sex, weight and hypoxic-ischemic encephalopathy degree. It analyzed variables related to hypothermia therapy and in addition in CPT group transfer specific variables. At discharge, it does not exist significant differences between groups in the efficiency-consequence of neuroprotection therapy with hypothermia (p = 0.159). It does not find complications derived from the interhospital move.
  
  
  CONCLUSIONS
  Neonatal inter-hospital transfer in passive therapeutic hypothermia is effective, safe and necessary for the therapy compliance. It is required reach an agreement between the attendance and the reference service, setting up guides for the support and suitable range of temperature.
authors: Servicio de Emergencias Medicas y Urgencias 112, Cadiz, Espana.
authors: José A
authors: JA
authors: Fuentes-Ruiz
authors: Carolina
authors: C
authors: Lagares-Franco
authors: Óscar
authors: Ó
authors: Rodríguez-Molina
authors: Enrique
authors: E
authors: Cordero-Cañas
authors: Isabel
authors: I
authors: Benavente-Fernández
mesh_terms: D058109:Airway Management / Q000379:methods; D001925:Brain Damage, Chronic / Q000209:etiology / Q000517:prevention & control; D002985:Clinical Protocols; D005260:Female; D005440:Fluid Therapy; D005865:Gestational Age; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods*; D020925:Hypoxia-Ischemia, Brain / Q000378:metabolism / Q000628:therapy*; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D008297:Male; D010360:Patient Transfer; D012189:Retrospective Studies; D012640:Seizures / Q000209:etiology; D013997:Time Factors; D014187:Transportation of Patients; D062666:Vascular Access Devices