Secondary Logo

Abstract PD-008: MORBIDITY AND OUTCOME ASSOCIATED WITH INTERHOSPITAL TRANSPORT OF CRITICALLY ILL INFANTS REFERRED TO A TERTIARY HOSPITAL IN HONG KONG

Leung, K.K.Y.1; Lee, S.L.1; Wong, M.S.R.1; Wong, W.H.S.1; Yung, T.C.2

Pediatric Critical Care Medicine: June 2018 - Volume 19 - Issue 6S - p 30–31
doi: 10.1097/01.pcc.0000537410.00849.33
Poster Discussion Abstracts
Free

1Queen Mary Hospital, Department of Paediatrics and Adolescent Medicine, Hong Kong, Hong Kong S.A.R.

2Queen Mary Hospital, Department of Paediatric Cardiology, Hong Kong, Hong Kong S.A.R.

Back to Top | Article Outline

Aims & Objectives:

Specialised transport teams are associated with fewer unplanned events during interhospital transport. This service is currently unavailable in Hong Kong. The aim of this study was to review the outcome of all inbound infants transported into a territory hospital in Hong Kong over three years.

Back to Top | Article Outline

Methods

Retrospective review of all infants transferred from regional hospitals’ neonatal intensive care units to the intensive care unit (ICU) of a territory hospital in Hong Kong from 1st August 2013 to 31st July 2016. Patient characteristics, physiological parameters before and after transport, interventions required during or one hour after transport, length of hospital stay and mortality were reviewed.

Back to Top | Article Outline

Results

256 infants with a mean gestational age of 31.7 ± 5.5 weeks and birth weight of 1732 ± 1007 grams were included. 143 (56.6%) patients were intubated during transfer, but only 22 (8.5%) patient’s physiological parameters were monitored. Around half of the patients (50.8%) had complications (Table 1) upon admission and 23% required significant interventions (Table 2). The median length of stay in the ICU were 3.3 (range 0.5–342.6) days. Five patients died of non-transport related causes within seven days of admission. Multivariate analysis showed that intubated patients (p<0.001) and patients transferred at an earlier postnatal age (p<0.017) were more likely to have complications.

Table

Table

Table

Table

Back to Top | Article Outline

Conclusions

Our study shows that complications and interventions are common during interhospital transport, particularly in intubated patients and patients being transferred at an earlier postnatal age. Establishing a specialised transport team equipped with proper training, equipment and accreditation may improve the standard of care and patient outcome.

©2018The Society of Critical Care Medicine and the World Federation of Pediatric Intensive and Critical Care Societies