Estimating the quality of neonatal transport in California
Estimating the quality of neonatal transport in California
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DOI：
10.1038/jp.2013.57
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发表时间：
2013-12-01
影响因子：
2.9
通讯作者：
Murphy, B.
中科院分区：
文献类型：
--
作者：
Gould, J. B.;Danielsen, B. H.;Murphy, B.
目的：根据转运过程中新生儿状况的变化，制定评估新生儿转运质量的策略。研究设计：使用2007年至2009年收集的21279例急性新生儿运输数据，对加州（Ca）人群的加拿大运输风险生理稳定性指数（TRIPS）评分进行了优化，使用模型预测（2/3）和验证（1/3）运输7天内的死亡率。质量变化点第10百分位数（QCP 10），一个基准的最大恶化，看到在10%的运输由最优秀的团队，established.RESULT：与围产期变量（0.79）相比，钙-TRIPS有一个验证接收器操作员特征面积预测死亡的0.88在所有的婴儿和0.86在婴儿运输后7天。死亡的风险增加2.4倍，在婴儿的恶化超过QCP 10。结论：我们提出了一个实用的，基准的，风险调整，新生儿运输质量的估计。
OBJECTIVE: To develop a strategy to assess the quality of neonatal transport based on change in neonatal condition during transport.STUDY DESIGN: The Canadian Transport Risk Index of Physiologic Stability (TRIPS) score was optimized for a California (Ca) population using data collected on 21 279 acute neonatal transports, 2007 to 2009, using models predicting (2/3) and validating (1/3) mortality within 7 days of transport. Quality Change Point 10th percentile (QCP10), a benchmark of the greatest deterioration seen in 10% of the transports by top-performing teams, was established.RESULT: Compared with perinatal variables (0.79), the Ca-TRIPS had a validation receiver operator characteristic area for prediction of death of 0.88 in all infants and 0.86 in infants transported after day 7. The risk of death increased 2.4-fold in infants whose deterioration exceeded the QCP10.CONCLUSION: We present a practical, benchmarked, risk-adjusted, estimate of the quality of neonatal transport.