基于信息共享系统优化危重新生儿院前转运模式的应用效果

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Abstract Objective To explore the application effect of the pre-hospital transport model based on the optimization of the information sharing system in critically ill newborns. Methods The data of 94 critically ill newborns admitted to Hebei Children’s Hospital from February 2019 to February 2020 who implemented prehospital transfer based on the optimization of the information sharing system were retrospectively analyzed and recorded as group A, the data of 88 critically ill newborns undergoing routine transportation were retrospectively analyzed and recorded as group B. The time spent in the transfer process and the hospital stay after transfer, the severity of disease scores before transfer, during transfer and after transfer, the outcome and the occurrence of adverse events of newborns of the two groups were compared. Results The time spent in the transfer process and hospital stay after transfer in group A were shorter than those in group B (all P ＜ 0.05). There were statistically significant differences in the severity of neonatal disease between the two groups, time and interaction (all P ＜ 0.05). There was no significant difference in disease severity scores before, during and after transport in group A (P ＞ 0.05). The disease severity score of group B in transport was lower than that before transport (P ＜ 0.05), and that after transport was lower than that in transport, before transport (P ＜ 0.05). The disease severity score of group A during and after transport was higher than that in group B (P ＜ 0.05). The outcome of group A was better than that of group B (P ＜ 0.05). The incidence of adverse events in group A was lower than that in group B (P ＜ 0.05). Conclusion Optimizing the pre-hospital transport mode of critically ill newborns based on the information sharing system can shorten the time spent in the transport process and hospital stay after transfer, reduce the severity of neonatal disease, help the outcome of the disease and reduce the incidence of adverse events.

Key words： Information sharing Critically ill newborn Prehospital transfer Severity of disease scores

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	JIAO Jiancheng SUN Min FANG Junchen MENG Lingzhi ZHANG Yudong MA Li

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JIAO Jiancheng SUN Min FANG Junchen MENG Lingzhi ZHANG Yudong MA Li. Application effect of optimizing the pre-hospital transport mode of critically ill newborns based on the information sharing system[J]. 中国医药导报, 2021, 18(16): 155-158.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2021/V18/I16/155

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