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  

Application effect of optimizing the pre-hospital transport mode of critically ill newborns based on the information sharing system

作　　者：焦建成[1] 孙敏 房军臣 孟灵芝[1] 张玉东 马莉[1] JIAO Jiancheng;SUN Min;FANG Junchen;MENG Lingzhi;ZHANG Yudong;MA Li(Department of Neonatology,Hebei Children’s Hospital,Hebei Province,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院新生儿科,河北石家庄050031

出　　处：《中国医药导报》2021年第16期155-158,共4页China Medical Herald

基　　金：河北省医学科学研究课题(20190786)。

摘　　要：目的探讨基于信息共享系统优化的院前转运模式在危重新生儿中的应用效果。方法回顾性分析2019年2月—2020年2月河北省儿童医院收治的94例实施基于信息共享系统优化的院前转运的危重新生儿的资料,记为A组,另回顾性分析同期88例实施常规转运的危重新生儿的资料,记为B组。比较两组新生儿转运过程花费时间和转院后住院时间,转运前、转运中和转运后疾病危重程度评分,转归情况以及不良事件发生情况。结果A组转运过程花费时间和转院后住院时间均短于B组(均P<0.05);两组新生儿疾病危重程度评分组间、时间、交互作用比较,差异均有统计学意义(均P<0.05)。A组转运前、转运中和转运后疾病危重程度评分差异无统计学意义(P>0.05),B组转运中疾病危重程度评分低于转运前(P<0.05),转运后低于转运中、转运前(P<0.05),且A组转运中、转运后疾病危重程度评分均高于B组(P<0.05);A组转归情况优于B组(P<0.05)。A组不良事件发生率低于B组(P<0.05)。结论基于信息共享系统优化危重新生儿院前转运模式能够缩短转运过程花费时间和转院后住院时间,降低新生儿疾病危重程度,有助于病情转归,降低不良事件发生率。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.

关 键 词：信息共享 危重新生儿 院前转运 疾病危重程度评分 

分 类 号：R722[医药卫生—儿科]