Abstract
Objective
The aim of this study was to compare the management of preterm newborns with respiratory
distress both in the delivery room and during transportation.
Methods
We retrospectively evaluated the intubation rate in preterm newborns (inborn vs. outborn),
gestational age (GA) < 34 weeks, admitted to the Gaslini neonatal intensive care unit,
Genoa, Italy (January 2019-December 2020).
Results
A total of 251 newborns were included (202 inborn and 49 outborn). The intubation
rate was significantly higher in outborn newborns (69.4% vs. 42.1%, P = .001) in the GA 30- to 34- week subgroup (63.2% vs 20.6%, P = .001) but not in the GA < 30-week subgroup (90.9% vs. 81.7%, P = .68).
Conclusion
Although the medical staff members involved in neonatal transport were the same who
work both in the neonatal intensive care unit and the delivery room, we found a significantly
higher intubation rate in outborn newborns, probably due to the transport itself.
It is fundamental to encourage in utero transportation to reduce the risk linked to
invasive ventilation due to neonatal transportation.
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References
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Article Info
Publication History
Published online: May 27, 2022
Identification
Copyright
© 2022 Air Medical Journal Associates. Published by Elsevier Inc. All rights reserved.
