임상 ; 경기도 서남부 지역의 단일 기관으로 전원된 미숙아로 살펴 본신생아 집중 치료의 지역화 진료 체계 및 이송 체계 = Neonatal Transport and Regionalization of Neonatal Intensive Care: The Perspective of Transferred Preterm Infants in a Single Neonatal Intensive Care Unit of the South-western Area of Gyeonggi-do

다국어 초록 (Multilingual Abstract)

Purpose: Not only regionalization of neonatal care for high risk newborn, but also safe neonatal transport system of newborn were not completely established in Korea. The aim of this study was to compare the clinical outcomes of preterm infants less than 35 week gestational age with regard to inborn and out born status, to understand the problems of regionalization of neonatal care and neonatal transport system and to provide the basis to solve the potential problems. Methods: This retrospective study included 40 out born and 40 inborn preterm infants less than 35 week gestational age admitted to the neonatal intensive care unit of Korea University Ansan Hospital during the period between January 2006 and June 2013. Results: Compared with those in the inborn group, the incidences of hypoglycemia and respiratory distress were significantly more frequent in the out born group at admission. The uses of surfactant, ventilator, and inotrope were significantly more frequent in the out born during hospitalization. Mortality occurred only in theoutborn group. Most of infants were transferred by a nurse alone, not a team with doctor. Conclusion: Transferred preterm infants may not be sufficiently stabilized before transport, according to the result of more frequent hypoglycemia and respiratory distress in the out born group. In order to reduce mortality and morbidity of transferred newborn from level I, the national policy about neonatal intensive care unit level guideline (manpower, equipment, and facility), regionalization of neonatal intensive care, and neonatal transport system are needed in Korea.