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A nationwide survey on neonatal medical resources in mainland China: current status and future challenges

BACKGROUND: With the rapid development of economy in recent two decades, neonatology has been progressing quickly in China. However, there is little knowledge about the exact developmental status of neonatal departments in China. The aim of this study was to assess resources available for care of si...

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Autores principales: Li, Qiuping, Han, Tao, Zhang, Yanping, Zhang, Qian, Kong, Xiangyong, Yang, Yonghui, Feng, Zhichun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852994/
https://www.ncbi.nlm.nih.gov/pubmed/31722687
http://dx.doi.org/10.1186/s12887-019-1780-4
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author Li, Qiuping
Han, Tao
Zhang, Yanping
Zhang, Qian
Kong, Xiangyong
Yang, Yonghui
Feng, Zhichun
author_facet Li, Qiuping
Han, Tao
Zhang, Yanping
Zhang, Qian
Kong, Xiangyong
Yang, Yonghui
Feng, Zhichun
author_sort Li, Qiuping
collection PubMed
description BACKGROUND: With the rapid development of economy in recent two decades, neonatology has been progressing quickly in China. However, there is little knowledge about the exact developmental status of neonatal departments in China. The aim of this study was to assess resources available for care of sick newborns in mainland China. METHODS: Questionnaires were sent to the membership of the Chinese Neonatologist Association (CNA) and used to survey the scale, facilities, staff, technologies, transport systems and preterm infants’ outcomes of neonatal departments (NDs) in different areas of China from June 2012 to December 2012. RESULTS: The result of this survey including a total of 117 questionnaires showed that investigated ND had a mean of 65 (median 47; range 5–450) beds, including 19.59 (median 15, range 0–100) NICU beds. The overall doctor/bed and nurse/bed ratio was 1:3.84 and 1:1.43, respectively. Lack of medical equipment was one of the main problems in most NDs surveyed, and only 26 NDs (22.2%) had more than one neonatal incubator per bed. Only 70.1, 30.6, 30.8 and 4.3% NDs carried out high-frequency ventilation, hypothermia, nitric oxide inhalation, and ECMO respectively. The capacity to provide advanced therapies increased with the size of the NDs (P < .01). A total of 81 NDs (69.2%) carried out neonatal transport, but only 70 NDs (86.4%) were equipped with transport incubators, 36 NDs (44.4%) had the ability of performing intrauterine transport of the preterm infants, and 3 NDs (3.7%) had the ability of performing air transport. The survival rate of extremely preterm infants (Gestational age less than 28w) to discharge home was 47.8% in 2011. CONCLUSION: NDs in mainland China are not well distributed and still face many problems, such as staff shortage, inadequate facilities, and imperfect transport. It is urgent to set up a classification of neonatal care to enhance the utilization rate of medical resources and improve the prognosis of critically ill infants.
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spelling pubmed-68529942019-11-21 A nationwide survey on neonatal medical resources in mainland China: current status and future challenges Li, Qiuping Han, Tao Zhang, Yanping Zhang, Qian Kong, Xiangyong Yang, Yonghui Feng, Zhichun BMC Pediatr Research Article BACKGROUND: With the rapid development of economy in recent two decades, neonatology has been progressing quickly in China. However, there is little knowledge about the exact developmental status of neonatal departments in China. The aim of this study was to assess resources available for care of sick newborns in mainland China. METHODS: Questionnaires were sent to the membership of the Chinese Neonatologist Association (CNA) and used to survey the scale, facilities, staff, technologies, transport systems and preterm infants’ outcomes of neonatal departments (NDs) in different areas of China from June 2012 to December 2012. RESULTS: The result of this survey including a total of 117 questionnaires showed that investigated ND had a mean of 65 (median 47; range 5–450) beds, including 19.59 (median 15, range 0–100) NICU beds. The overall doctor/bed and nurse/bed ratio was 1:3.84 and 1:1.43, respectively. Lack of medical equipment was one of the main problems in most NDs surveyed, and only 26 NDs (22.2%) had more than one neonatal incubator per bed. Only 70.1, 30.6, 30.8 and 4.3% NDs carried out high-frequency ventilation, hypothermia, nitric oxide inhalation, and ECMO respectively. The capacity to provide advanced therapies increased with the size of the NDs (P < .01). A total of 81 NDs (69.2%) carried out neonatal transport, but only 70 NDs (86.4%) were equipped with transport incubators, 36 NDs (44.4%) had the ability of performing intrauterine transport of the preterm infants, and 3 NDs (3.7%) had the ability of performing air transport. The survival rate of extremely preterm infants (Gestational age less than 28w) to discharge home was 47.8% in 2011. CONCLUSION: NDs in mainland China are not well distributed and still face many problems, such as staff shortage, inadequate facilities, and imperfect transport. It is urgent to set up a classification of neonatal care to enhance the utilization rate of medical resources and improve the prognosis of critically ill infants. BioMed Central 2019-11-13 /pmc/articles/PMC6852994/ /pubmed/31722687 http://dx.doi.org/10.1186/s12887-019-1780-4 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Li, Qiuping
Han, Tao
Zhang, Yanping
Zhang, Qian
Kong, Xiangyong
Yang, Yonghui
Feng, Zhichun
A nationwide survey on neonatal medical resources in mainland China: current status and future challenges
title A nationwide survey on neonatal medical resources in mainland China: current status and future challenges
title_full A nationwide survey on neonatal medical resources in mainland China: current status and future challenges
title_fullStr A nationwide survey on neonatal medical resources in mainland China: current status and future challenges
title_full_unstemmed A nationwide survey on neonatal medical resources in mainland China: current status and future challenges
title_short A nationwide survey on neonatal medical resources in mainland China: current status and future challenges
title_sort nationwide survey on neonatal medical resources in mainland china: current status and future challenges
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6852994/
https://www.ncbi.nlm.nih.gov/pubmed/31722687
http://dx.doi.org/10.1186/s12887-019-1780-4
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