Observational studyBMJ open2021
Transport characteristics and predictors of mortality among neonates referred to a tertiary care centre in North India: a prospective observational study.
Observational study in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.
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The trial behind it
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Who cites it
15 citing papers in PubMed, 3 syntheses or guidelines pooled it, 22 citations in OpenAlex.
- Explosive Weapons Trauma Care Collective (EXTRACCT) Clinical Practice Guideline: Transfer of Critically Injured Casualties.World journal of surgery · 2026Guideline
- Impact of travel time to health facilities on perinatal outcomes: a systematic review with narrative synthesis and meta-analysis.Journal of global health · 2026Pooled it
- Prognosis of neonates receiving invasive mechanical ventilation in low-resource settings: a systematic review and prognostic meta-analysis.European journal of pediatrics · 2026Pooled it
- Contemporary Evidence on Interhospital Neonatal Transport as a Potentially Sepsis-Relevant Care Interval: A Scoping Review.Medicina (Kaunas, Lithuania) · 2026Article
- Neonatal Interfacility Transport to Tertiary and Quaternary Centres: Clinical Outcomes and System-Level Determinants-A Systematic Review.Children (Basel, Switzerland) · 2026Review
- Clinical Profile and Outcomes of Late-Preterm (≥35 wk) and Term Newborns Transported with Respiratory Support to a Tertiary NICU - A Retrospective Observational Study.Indian journal of pediatrics · 2026Article
- Mortality Predictors in Transported Late-Preterm and Term Neonates.Indian journal of pediatrics · 2026Article
- Observational
- Predicting the Outcome of Sick Neonates Using the Sick Neonate Score: A Prospective Observational Study.Cureus · 2026Article
- Neonatal and Pediatric Transport: A Contemporary Review.Children (Basel, Switzerland) · 2026Review
- Risk factors of mortality in outborn neonates, an experience from central India: A prospective observational study.Journal of family medicine and primary care · 2025Article
- Characteristics and Predictors of Outcome of Neonatal Transport in a Tertiary Care Private Hospital.Indian journal of pediatrics · 2025Article
- Article
- Prognostic role of TOPS in ambulance-transferred neonates in a low-resource setting: a retrospective observational study.BMC pregnancy and childbirth · 2022Observational
- Long-term outcomes of children with neonatal transfer: the Japan Environment and Children's Study.European journal of pediatrics · 2022Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveThe paucity of specialised care in the peripheral areas of developing countries necessitates the referral of sick neonates to higher centres. Organised interhospital transport services provided by a skilled and well-equipped team can significantly improve the outcome. The present study evaluated the transport characteristics and predictors of mortality among neonates referred to a tertiary care centre in North India.
designProspective observational study. SETTINGS: Tertiary care teaching hospital in North India. PATIENTS: 1013 neonates referred from peripheral health units.
main outcome measuresMortality among referred neonates on admission to our centre.
resultsOf the 1013 enrolled neonates, 83% were transferred through national ambulance services, 13.7% through private hospital ambulances and 3.3% through personal vehicles. Major transfer indications were prematurity (35%), requirement for ventilation (32%), birth asphyxia (28%) and hyperbilirubinaemia (19%). Hypothermia (32.5%, 330 of 1013), shock (19%, 192 of 1013) and requirement for immediate cardiorespiratory support (ICRS) (10.4%, 106 of 1013) on arrival were the major complications observed during transfer. A total of 305 (30.1%, N=1013) deaths occurred. Of these, 52% (n=160) died within 24 hours of arrival. On multivariate logistic analysis, unsupervised pregnancy (<4 antenatal visits; p=0.037), antenatal complications (p<0.001), prematurity ≤30 weeks (p=0.005), shock (p=0.001), hypothermia (p<0.001), requirement for ICRS on arrival (p<0.001), birth asphyxia (p=0.004), travel time >2 hours (p=0.005) and absence of trained staff during transfer (p<0.001) were found to be significant predictors of mortality.
conclusionThe present study depicts high mortality among infants referred to our centre. Adequate training of peripheral health personnel and availability of pre-referral stabilisation and dedicated interhospital transport teams for sick neonate transfers may prove valuable interventions for improved outcomes.
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