Journal of Developmental Medicine(Electronic Version)  2024, Vol. 12 Issue (2): 102-107 DOI: 10.3969/j.issn.2095-5340.2024.02.004 |
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| Investigate of the status of 95 critical newborn treatment centers |
| Peng Jianru, Han Tao, Li Qiuping, et al
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(1.Department of Neonatology, Huizhou Central People’s Hospital,Guangdong, Huizhou 516000, China; 2.Neonatal Intensive Care Unit, Faculty of Pediatrics, the SeventhMedical Center of PLA General Hospital, Beijing 100700, China; 3.The Second Clinical School of Medicine,Southern Medical University, Guangdong, Guangzhou 510000, China)
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Abstract 【Abstract】 Objective To evaluate the effectiveness, pertinence and operability of the Guidelines for
the Construction and Management of Critical Newborn Treatment Centers (hereinafter referred to as the
"Guidelines") in guiding the resource construction of critical newborn treatment centers (hereinafter referred to as "treatment centers"). Method From June to December 2019, a total of 95 treatment centers were selected in the eastern, central and western regions of China, including 25 at the provincial level, 35 at the municipal level and 35 at the county level, to investigate the status of the treatment network construction for critically ill newborns. The contents of the survey included the construction of the ward, equipment configuration and technical items. Statistical methods were χ2 test or Fisher exact probability method. Result 25 provincial-level treatment centers were in grade ⅢA hospitals, and 57% (20/35) of municipal treatment centers were in grade ⅢA hospitals. The rates of the number of beds in provincial, municipal and countylevel treatment centers reaching the standard were 64% (16/25), 71% (25/35) and 89% (31/35), respectively. All 95 treatment centers performed neonatal resuscitation and blue light therapy. The 25 provincial treatment centers carried out ordinary oxygen therapy, tracheal intubation, non-invasive monitoring, blood gas analysis, continuous positive airway pressure (CPAP). However, technical programs such as mild hypothermia therapy, peritoneal dialysis, and continuous renal replacement therapy (CRRT) had a low rate of meeting standards. Some municipal treatment centers did not implement CPAP, high-frequency ventilation, exchange transfusion,and peripherally inserted central catheter (PICC) as required by the Guidelines. The basic technologies of some county-level treatment centers had not reached the standard, such as tracheal intubation, noninvasive monitoring, and ordinary oxygen therapy. There was no significant difference in the meeting standards rate of neonatal resuscitation, tracheal intubation, CPAP, blue light therapy and blood gas analysis at provincial, city and county levels (P>0.05). The differences were statistically significant in different levels about items such as exchange blood therapy, non-invasive monitoring, ordinary oxygen therapy and PICC (P<0.05), and the provincial reached a higher rate of meeting standards. Conclusion The bed setting, equipment configuration, and technical items of some treatment centers need to be further improved to promote the construction of neonatal treatment centers and regional cooperative treatment network systems.
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Received: 18 July 2023
Published: 29 March 2024
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