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Aim: To determine the effects of the efforts towards improving the status of neonatal transport on transport conditions and mortality rate of newborns who were referred to Diyarbakir Children rsquo;s Diseases Hospital Neonatal Intensive Care Unit NICU Material and Method: The transport conditions of newborns referred to NICU between March 1 2007 August 31 2007 1st period Group 1 and between January 1 2008 and April 30 2008 2nd period Group 2 were determined and the differences between the two periods were compared in terms of medical and paramedical findings after efforts for improvement etics committee approval: 28 02 2007 Social Package for Social Sciences SPSS 11 5 program was used to analyze the data Student 39;s t and chi square tests were used for statistical evaluation Results: A total of 1525 patients were hospitalized in the first period whereas 927 patients were hospitalized in the second period Diagnoses and demographic characteristics of infants were similar in both groups After the efforts carried out for improving neonatal transport the 2nd group had a higher incidence of positive findings such as presence of pre transport communication detailed discharge report birth report gender and identity using of ambulance and transport incubator proper use of intravenous fluids the frequency of intubation of patients needing to be intubated The frequency of hypothermia hypoglycemia hypotension and circulation disorder was found to be lower in the 2nd group Transport Risk Index of Physiologic Stability TRIPS score 20 07 plusmn;13 41 vs 12 89 plusmn;11 53; p lt;0 0001 and mortality rate 18 4 vs 14 1 ; p=0 007 were significantly higher in infants in the 1st group Conclusions: In Diyarbakir region neonatal transport conditions markedly improved as a result of efforts for rehabilitation of conditions Constitution of regional neonatal transport systems in our country should be approached as an emergency action plan in basic healthcare policies Turk Arch Ped 2011; 46: 188 93

Diyarbakır’da hasta yenidoğanın taşınması konusunda yapılan iyileştirme çalışmaları ve bebeklere yansımaları