We have located links that may give you full text access.
The continuing impact of capacity on a region's in-utero transfer requests.
Acta Paediatrica 2019 October 21
AIM: The Yorkshire and Humber operational delivery network (ODN) aims to ensure 85% of preterm babies are delivered in tertiary centres. Auditing in-utero transfers provides key data for streamlining this process. Our study aimed to determine reasons and outcomes of in-utero transfers as well as review the impact of staffing on capacity transfer requests.
METHODS: All in-utero transfer referrals between September 2014 and August 2015 were reviewed and delivery outcome data was sought from the national data platform, Badgernet. ODN records provided cot occupancy and staffing data.
RESULTS: 479 referrals were made and 379 transfers were completed. The majority of requests were due to reduced capacity which was linked to poor staffing levels (51.3 %). Patients travelled significant distances, with a mean distance of 42.3 miles within network, and 70.3 miles, out of network. Despite the travel burden, only 35.1% of women delivered within 48 hours of transfer.
CONCLUSION: In-utero transfers remain difficult and time-consuming to facilitate. Neonatal staffing at referral units contributes significantly to the decision to transfer women. Challenges remain in predicting which women will deliver after an in-utero transfer, as well as obtaining outcome data for these cases.
METHODS: All in-utero transfer referrals between September 2014 and August 2015 were reviewed and delivery outcome data was sought from the national data platform, Badgernet. ODN records provided cot occupancy and staffing data.
RESULTS: 479 referrals were made and 379 transfers were completed. The majority of requests were due to reduced capacity which was linked to poor staffing levels (51.3 %). Patients travelled significant distances, with a mean distance of 42.3 miles within network, and 70.3 miles, out of network. Despite the travel burden, only 35.1% of women delivered within 48 hours of transfer.
CONCLUSION: In-utero transfers remain difficult and time-consuming to facilitate. Neonatal staffing at referral units contributes significantly to the decision to transfer women. Challenges remain in predicting which women will deliver after an in-utero transfer, as well as obtaining outcome data for these cases.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app