Evaluation of the Transfer Results of the Newborn with Surgical Treatment

Abstract

Introduction: the surgical newborn often requires to be sent to specialized centers incharge of this specific care in the region.

Objective: to assess the transfer influence on prognosis of neonates undergoing surgery at the Regional Surgical Newborn Center of Octavio de la Concepcion de la Pedraja Pediatric Hospital of Holguin.

Method: a descriptive study was done from January 2010 to December 2012 and a protocol was set up to improve the surgical newborns’ movement.

Results: one hundred and thirty nine (139) newborns with surgical diseases were sent to the above mentioned center, which were from eastern provinces and from Holguin. The predominant age was from one to seven days of both sexes (56.1 %) and in general the survival achieved was of 87.0 % and 5.0 % of mortality during the first 48 hours. The province which predominated regarding   the transfer was Holguin. There were no great differences in clinical conditions between the cases which were transferred to and the ones that received the patients; nevertheless, the records were insufficient. Regarding the diagnostic correlation between   the emissor and the receiver center, the irregularities prevailed on the complex malformations of occlusive syndrome, with wrong diagnosis in 16 patients. Sepsis was the direct cause of death in most of cases.

Conclusions: the results of transfer were assessed as acceptable, although the harmful and deficient transfer influenced on the mortality in the first 48 hours.

Keywords: movement, newborn, surgery, transfer, sepsis.