PMID: 9175457May 1, 1997Paper

A study of the referral patterns of obstetric clinics and the performance of receiving neonatal intensive care units in Taiwan

Public Health
S T WangT F Yeh

Abstract

To study the referral patterns of obstetric clinics, and the performance of receiving intensive care units measured by the survival of transported neonates, transport records were collected prospectively between July, 1991 and June, 1992. Two hundred and fifty-four transported neonates born in 51 obstetric clinics (level I units) in Tainan City and County, in southern Taiwan, were enrolled in this study. Nineteen percent of the transported neonates were very low birthweight infants (< 1500 g). Nearly equal numbers of them were transported to eight district hospitals (level II units) and to a tertiary center (level III unit), but these infants were 1.5 times more likely to die in a level II unit than a level III unit. In addition, equal numbers of infants assisted by mechanical ventilators were transported to level II and III units, but these infants were three times more likely to die in a level II unit than a level III unit (P = 0.006). Seventy-seven percent of the normal birthweight infants (> or = 2500 g) were transported to level II units, and the mortality in this group was 12.3% compared with 0% in those transported to the level III unit. Approximately 56% of these normal birthweight infants in level II units died of seve...Continue Reading

References

Oct 4, 1975·British Medical Journal·A M BlakeD S Andrew
Apr 1, 1991·Archives of Disease in Childhood·D FieldP Burton
Aug 15, 1984·American Journal of Obstetrics and Gynecology·J B PhilipsD V Eitzman
Jun 1, 1983·Critical Care Medicine·J L HoodE E Lawson
Jul 15, 1982·The New England Journal of Medicine·N PanethM Susser
Sep 1, 1982·Australian Paediatric Journal·V Y YuB Bajuk
Jan 1, 1980·American Journal of Public Health·K S LeeL Gruss

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