Clinical Scorecard: Clinical Risks and Adverse Outcomes Associated with Intrahospital Transport of Critically Ill Neonates: A Prospective Pilot Study in a Tertiary Care Facility in Vietnam

At a Glance

Key Highlights

• 51.4% of transport events were classified as unsafe under the primary definition (source needed).
• Hypothermia was the most frequent adverse event, occurring in 74% of unsafe transports (source needed).
• Surgical indication was the strongest independent predictor of unsafe transport (source needed).
• Moderate hypothermia was associated with increased support escalation (source needed).

Guideline-Based Recommendations

Diagnosis

• Monitor for adverse events during and after transport, including hypothermia and respiratory deterioration (source needed).

Management

• Implement routine incubator use for surgical cases and enhance preparation for surgical transport (source needed).

Monitoring & Follow-up

• Standardize post-return temperature assessments to identify hypothermia (source needed).

Risks

• Increased risk of adverse events during transport, particularly hypothermia and respiratory instability (source needed).

Patient & Prescribing Data

Transport events should be closely monitored for physiological changes and adverse events (source needed).

Clinical Best Practices

• Utilize dedicated NICU teams for transport (source needed).
• Follow standard protocols and equipment during transport (source needed).
• Assess and document physiological parameters before, during, and after transport (source needed).

Related Resources & Content

• Clinical Risks and Adverse Outcomes Associated with Intrahospital Transport of Critically Ill Neonates