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Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence

INTRODUCTION: This study aims to describe transfer modalities of newborn babies in vital distress to the ESSOS Hospital Center in Yaoundé, Cameroon. METHODS: We conducted a prospective cross-sectional study from October 2014 to January 2015. Data were collected using a short questionnaire from the t...

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Autores principales: Nlend, Anne Esther Njom, Zeudja, Cécile, Nsoa, Lydie
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The African Field Epidemiology Network 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5326266/
https://www.ncbi.nlm.nih.gov/pubmed/28270906
http://dx.doi.org/10.11604/pamj.2016.25.214.9642
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author Nlend, Anne Esther Njom
Zeudja, Cécile
Nsoa, Lydie
author_facet Nlend, Anne Esther Njom
Zeudja, Cécile
Nsoa, Lydie
author_sort Nlend, Anne Esther Njom
collection PubMed
description INTRODUCTION: This study aims to describe transfer modalities of newborn babies in vital distress to the ESSOS Hospital Center in Yaoundé, Cameroon. METHODS: We conducted a prospective cross-sectional study from October 2014 to January 2015. Data were collected using a short questionnaire from the transfer operator. Main parameters: means of transport, reason for transfer, transfer delay, number of detours (itinerary before admission) prevalence for hypothermia, neonatal mortality rate. RESULTS: We recorded 73 transfers during the study period. Nearly 1/5 (22%) of infants were born within the health district of the reference structure. 24/73 newborns were referred for tertiary care centers (33%). The main reason for transfer was prematurity (40%) followed by neonatal asphyxia (26%). Medical transfer was performed in 5/73 (7%) cases, inter-hospital transfer effected through a nurse was performed in 10/73 (13.6%) cases. The average transfer time was 17 hours, 60% of babies were transferred within the first 6 hours of life, 22% (16/73) within the first two hours of life. For more than half of newborns, a transfer to another hospital was done before admission. Hypothermia (central temperature less than 36° C) on arrival was found in 20% of cases. 15/73 (20.5%) of transferred newborns died. The mean temperature in the dead infants upon their arrival to the hospital was 35.5° C versus 37° C in the non-deceased (p = 0.006). The percentage of newborns who underwent =2 tranfers was 57% in the deceased infants versus 30% in the non-deceased ones (p=0,02). CONCLUSION: In Yaoundé, transfers conditions of newborns in precarious conditions of life hinder early neonatal prognosis because of an erratic itinerary, which increases the risk of hypothermia and death. This reinforces the need for a perinatal network.
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spelling pubmed-53262662017-03-07 Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence Nlend, Anne Esther Njom Zeudja, Cécile Nsoa, Lydie Pan Afr Med J Research INTRODUCTION: This study aims to describe transfer modalities of newborn babies in vital distress to the ESSOS Hospital Center in Yaoundé, Cameroon. METHODS: We conducted a prospective cross-sectional study from October 2014 to January 2015. Data were collected using a short questionnaire from the transfer operator. Main parameters: means of transport, reason for transfer, transfer delay, number of detours (itinerary before admission) prevalence for hypothermia, neonatal mortality rate. RESULTS: We recorded 73 transfers during the study period. Nearly 1/5 (22%) of infants were born within the health district of the reference structure. 24/73 newborns were referred for tertiary care centers (33%). The main reason for transfer was prematurity (40%) followed by neonatal asphyxia (26%). Medical transfer was performed in 5/73 (7%) cases, inter-hospital transfer effected through a nurse was performed in 10/73 (13.6%) cases. The average transfer time was 17 hours, 60% of babies were transferred within the first 6 hours of life, 22% (16/73) within the first two hours of life. For more than half of newborns, a transfer to another hospital was done before admission. Hypothermia (central temperature less than 36° C) on arrival was found in 20% of cases. 15/73 (20.5%) of transferred newborns died. The mean temperature in the dead infants upon their arrival to the hospital was 35.5° C versus 37° C in the non-deceased (p = 0.006). The percentage of newborns who underwent =2 tranfers was 57% in the deceased infants versus 30% in the non-deceased ones (p=0,02). CONCLUSION: In Yaoundé, transfers conditions of newborns in precarious conditions of life hinder early neonatal prognosis because of an erratic itinerary, which increases the risk of hypothermia and death. This reinforces the need for a perinatal network. The African Field Epidemiology Network 2016-12-06 /pmc/articles/PMC5326266/ /pubmed/28270906 http://dx.doi.org/10.11604/pamj.2016.25.214.9642 Text en © Anne Esther Njom Nlend et al. http://creativecommons.org/licenses/by/2.0/ The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research
Nlend, Anne Esther Njom
Zeudja, Cécile
Nsoa, Lydie
Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence
title Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence
title_full Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence
title_fullStr Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence
title_full_unstemmed Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence
title_short Transfert et transport des nouveau-nés en situation de détresse vitale à Yaoundé, Cameroun: analyse situationnelle dans un hôpital de référence
title_sort transfert et transport des nouveau-nés en situation de détresse vitale à yaoundé, cameroun: analyse situationnelle dans un hôpital de référence
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5326266/
https://www.ncbi.nlm.nih.gov/pubmed/28270906
http://dx.doi.org/10.11604/pamj.2016.25.214.9642
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