Going home safe
car seat challenge test in a neonatal intensive care unit
DOI:
https://doi.org/10.48492/servir0210.38232Keywords:
Child Restraint Systems, Intensive Care Units, Neonatal, NewbornAbstract
Introduction: It is recommended to use a suitable Child Restraint System (CRS) while transporting the newborn from the hospital to home. The stay of newborns in the CRS is associated with episodes of desaturation, so the hemodynamic stability of the newborn must be identified when properly seated in the CRS, especially the newborn admitted to the Neonatal Intensive Care Unit (NICU). The Car Seat Challenger Test (CSCT) permits to track risk situations and act accordingly to the identified situation, being one of the recommended methods for screening newborn apnea in the SRC.
Objective: Analyze the responses of newborn infants at CSCT, discharged home from July 1st, 2021, until July 31st, 2023.
Methods: This is a descriptive, retrospective, observational, non-experimental study. The data required was collected from the procedure record that considers the following newborn’s information: gestational age, corrected age, comorbidities, occurrence of apnea, average heart rate, average peripheral oxygen saturations and the test duration.
Results: We identified 191 CSCT eligible tests, from which 189 newborns passed at the first test and 2 newborns passed at the second attempt. Of the 3 newborns that failed the first test, 2 of them repeated it on a period higher then 12hours after the first test.
Conclusion: Despite the existence of a protocol in place it was possible to identify that the procedure is not always accomplished. Due to the reduced number of subjects, it is not possible to consider a relation between comorbidities and the success of the CSCT.
Keywords: Child Restraint Systems; Intensive Care Units, Neonatal; Infant, Newborn
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Davis, N. L., & Cheo, S. (2021). A National Survey of Car Seat Tolerance Screening Protocols in Neonatal Intensive Care Units. Academic Pediatrics, 21(1). https://doi.org/10.1016/j.acap.2020.02.004
Direcção-Geral da Saúde. (2010). Transporte de Crianças em Automóvel desde a alta da Maternidade. Orientação No 001/2010 de 16/09/2010. https://www.dgs.pt/directrizes-da-dgs/orientacoes-e-circulares-informativas/orientacao-n-0012010-de-16092010-pdf.aspx
Hospital de Cascais. (2021). Teste de Apneia do Recém-Nascido no Sistema de Retenção.
INE, Instituto Nacional de Estatística, I. P. (2023). Estatísticas Demográficas: 2021. In Destaque - Informação À Comunidade Social. https://www.ine.pt/xurl/pub/13932532
Magnarelli, A., Solanki, N. S., & Davis, N. L. (2020). Car seat tolerance screening for late-preterm infants. In Pediatrics (Vol. 145, Issue 1). https://doi.org/10.1542/PEDS.2019-1703
Pilley, E., & McGuire, W. (2006). Pre-discharge "car seat challenge" for preventing morbidity and mortality in preterm infants. The Cochrane database of systematic reviews, 2006(1), CD005386. https://doi.org/10.1002/14651858.CD005386.pub2
Sociedade Portuguesa de Neonatologia. (2016). Transporte do recém-nascido. Transporte Do Recém-Nascido No Automóvel. https://www.spneonatologia.pt/wp-content/uploads/2016/10/O-transporte-em-automovel-Como-levar-o-prematuro.pdf
United Nations. (2022). United Nations Department of Economic and Social Affairs, Population Division (2022). World Population Prospects 2022: Summary of Results. Department of Economic and Social Affairs Population Division, 3(UN DESA/POP/2022/TR/NO. 3).
Widome, M. D., Boyle, W. E., Christoffel, K. K., Katcher, M. L., Micik, S. H., & Rodgers, G. C. (1991). Safe transportation of premature infants. Pediatrics, 87(1). https://doi.org/10.1542/peds.87.1.120
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