ArticleArchives of disease in childhood. Fetal and neonatal edition2007
Effect of a centralised transfer service on characteristics of inter-hospital neonatal transfers.
Article in Archives of disease in childhood. Fetal and neonatal edition, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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Who cites it
10 citing papers in PubMed.
- The Impact of Nirsevimab on the Transport of Critically Ill Children.Children (Basel, Switzerland) · 2026Article
- Compliance with the Golden Hour bundle in deliveries attended by a specialized neonatal transport team compared with staff at non-tertiary centres.Paediatrics & child health · 2024Article
- All the right moves: whyF1000Research · 2020Review
- Trends in centralization of very preterm deliveries and neonatal survival in Finland in 1987-2017.Translational pediatrics · 2019Review
- Neonatal transport metrics and quality improvement in a regional transport service.Translational pediatrics · 2019Review
- Evaluation of Neonatal Transport in Western Switzerland: A Model of Perinatal Regionalization.Clinical medicine insights. Pediatrics · 2017Article
- Investigation of the status of interhospital transport of critically ill pediatric patients.World journal of pediatrics : WJP · 2015Article
- Regionalization of neonatal intensive care in Korea.Korean journal of pediatrics · 2011Article
- A retrospective evaluation of the impact of a dedicated obstetric and neonatal transport service on transport times within an urban setting.International journal of emergency medicine · 2011Article
- Neonatal transfers--a thin layer of glue to keep the service network together?Archives of disease in childhood. Fetal and neonatal edition · 2007Article
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8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the effect of a centralised neonatal transfer service on numbers of neonatal transfers and the time taken for teams to reach the baby.
designProspective census of neonatal inter-hospital transfers between May and July 2004. Comparison with a previous census undertaken before introduction of the service. Analysis of requests for antenatal in-utero transfer to the regional emergency bed service.
settingGeographically defined area in London and southeast England. PATIENTS: Babies transferred to or from a neonatal unit.
interventionsIntroduction of a centralised neonatal transfer service.
main outcome measuresNumbers of transfers, time taken for teams to arrive to the baby (response time).
resultsDuring the census there were 835 transfers with an increase of 34% from the previous census (n = 619). Most of the increase was in urgent transfers for neonatal intensive care. There was a mean of 4.4 urgent transfers a day, with 3.9 elective and 0.8 short-term transfers. Over the same period in-utero transfers decreased. Response times improved from a median of 2 h in 2001 to 1.45 h in 2004 (p<0.05). The 90th centile fell from 6 h to 4.9 h.
conclusionFollowing the introduction of a centralised neonatal transfer service, response times improved significantly. An increase in the numbers of transfers for medical intensive care was associated with a reduced number of in-utero transfers. To balance the improved safety and accessibility of neonatal transfer, similar developments may be needed to facilitate in-utero transfer.
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