دورية أكاديمية
The impact of teleneonatology on the Transport Risk Index of Physiologic Stability score for outborn neonates: A prospective, observational study.
| العنوان: | The impact of teleneonatology on the Transport Risk Index of Physiologic Stability score for outborn neonates: A prospective, observational study. |
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| المؤلفون: | Patel RK; Mayo Clinic Alix School of Medicine, Phoenix, USA., Kreofsky BL; Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, USA., Hentz RC; Division of Clinical Trials and Biostatistics, Department of Quantitative Health Sciences, Mayo Clinic, Rochester, USA., Fang JL; Division of Neonatal Medicine, Department of Pediatric and Adolescent Medicine, Mayo Clinic, Rochester, USA. |
| المصدر: | Journal of telemedicine and telecare [J Telemed Telecare] 2023 Sep 27, pp. 1357633X231196334. Date of Electronic Publication: 2023 Sep 27. |
| Publication Model: | Ahead of Print |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Country of Publication: England NLM ID: 9506702 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1758-1109 (Electronic) Linking ISSN: 1357633X NLM ISO Abbreviation: J Telemed Telecare Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: Dec. 2012- : London : Sage Original Publication: London : Published and distributed by Royal Society of Medicine Press, c1995- |
| مستخلص: | Introduction: Teleneonatology (TN) allows neonatologists to use real-time, audio-video telemedicine to manage critically ill neonates located in community hospitals (CHs). The California Transport Risk Index of Physiologic Stability (Ca-TRIPS) score is a validated metric that predicts the risk of 7-day mortality for neonates undergoing medical transport. We hypothesized that neonates born in CHs who received TN consults would have lower (better) Ca-TRIPS scores upon arrival of the transport team than those who did not. Methods: Neonates born in CHs between 8 December 2018 and 31 July 2022 who were transported to the neonatal intensive care unit were screened for eligibility. TN was available at 50% (12/24) of CHs, where care teams decided when to activate the service. Study data were abstracted from the electronic health record and used to calculate Ca-TRIPS scores. Scores were evaluated using zero-inflated negative binomial regression. Results: Forty-two percent (161/385) of neonates received a TN consult. Neonates that received TN had lower birth weight, gestational age, and Apgar scores and were more often admitted with respiratory distress syndrome and respiratory failure. Neonates who received TN were less likely to have a Ca-TRIPS score of zero (odds ratio 0.51; 95% confidence interval 0.33, 0.78). When adjusted for baseline characteristics, this difference was no longer significant. Non-zero Ca-TRIPS scores were not different between groups. Discussion: In this observational study, neonates that received TN did not have lower (better) Ca-TRIPS scores. Findings may be limited by confounding bias given between-group differences in baseline patient characteristics. Randomized studies are needed to determine whether TN impacts the physiologic stability of neonates requiring medical transport. |
| فهرسة مساهمة: | Keywords: Telehealth; neonatal intensive care unit; neonatal transport; newborn; teleneonatology |
| تواريخ الأحداث: | Date Created: 20230927 Latest Revision: 20230927 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1177/1357633X231196334 |
| PMID: | 37753610 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1758-1109 |
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| DOI: | 10.1177/1357633X231196334 |