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Exploring physiological stability of infants in Kangaroo Mother Care position versus placed in transport incubator during neonatal ground ambulance transport in Sweden.

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Title: Exploring physiological stability of infants in Kangaroo Mother Care position versus placed in transport incubator during neonatal ground ambulance transport in Sweden.
Authors: van den Berg, Johannes, Jakobsson, Ulf, Selander, Bo, Lundqvist, Pia
Source: Scandinavian Journal of Caring Sciences. Dec2022, Vol. 36 Issue 4, p997-1005. 9p. 5 Charts, 3 Graphs.
Subjects: Body temperature, Pain measurement, Infant care, Neonatal intensive care, Ambulances, Axilla, Respiratory measurements, Oxygen saturation, Medical care costs, Neonatal intensive care units, Apnea, Neonatal nursing, Hospital admission & discharge, Risk assessment, Comparative studies, Infant incubators, Heart rate monitoring, Cost effectiveness, Automobile driving, Descriptive statistics, Oxygen therapy, Research funding, Postnatal care, Adverse health care events, Data analysis software, Apgar score, Nurse practitioners, Patient positioning, Longitudinal method, Patient safety, Children
Geographic Terms: Sweden
Abstract: Background: The positive effects of Kangaroo mother care in NICU's are well documented but, to a lesser extent, explored during inter‐hospital neonatal transport. Inter‐hospital transport, with the infant placed in a transport incubator, increases the risk of separation while infants in Kangaroo mother care position implies that the parents accompany the transport. There exists limited knowledge if physiological stability differs when transported in Kangaroo mother care position compared to transport in a transport incubator. Aims: The aim of this study was to compare physiological stability of infants transported via ground ambulance in either Kangaroo mother care position or positioned in a transport incubator. Method: In total, 24 infants were recruited to be transported between hospitals in either a Kangaroo mother care position (n = 16) or in a transport incubator (n = 8). Inclusion criteria were; current weight >1500 g; current gestational age above 31+0 weeks; no central catheter; no respiratory support and no planed painful or distressing interventions during the 48‐h follow‐up period post‐transport. Exclusion criteria were; infants whose parents did not speak or understand Swedish or English and infants with a current weight above 4500 g for the KMC group. Physiological stability was obtained during transport and for a 48‐h follow‐up period by measuring body temperature, respiratory and heart rate, oxygen saturation, pain score, transport risk assessment and number of interventions during transport and 48‐h post‐transport. Cost‐effectiveness and adverse events were also evaluated. Results: Both groups had comparable background characteristics and physiological stability during transport and for the 48‐h follow‐up period after transport. Transporting in Kangaroo mother care position was more cost‐effective. Study limitation: A small sample size in both groups. Conclusion: Transporting an infant in Kangaroo mother care position can be regarded as a choice of transport mode when the infant fulfils the set criteria. [ABSTRACT FROM AUTHOR]
Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Label: Title
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  Data: Exploring physiological stability of infants in Kangaroo Mother Care position versus placed in transport incubator during neonatal ground ambulance transport in Sweden.
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  Data: <searchLink fieldCode="AR" term="%22van+den+Berg%2C+Johannes%22">van den Berg, Johannes</searchLink><br /><searchLink fieldCode="AR" term="%22Jakobsson%2C+Ulf%22">Jakobsson, Ulf</searchLink><br /><searchLink fieldCode="AR" term="%22Selander%2C+Bo%22">Selander, Bo</searchLink><br /><searchLink fieldCode="AR" term="%22Lundqvist%2C+Pia%22">Lundqvist, Pia</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22Scandinavian+Journal+of+Caring+Sciences%22">Scandinavian Journal of Caring Sciences</searchLink>. Dec2022, Vol. 36 Issue 4, p997-1005. 9p. 5 Charts, 3 Graphs.
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  Label: Subjects
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Body+temperature%22">Body temperature</searchLink><br /><searchLink fieldCode="DE" term="%22Pain+measurement%22">Pain measurement</searchLink><br /><searchLink fieldCode="DE" term="%22Infant+care%22">Infant care</searchLink><br /><searchLink fieldCode="DE" term="%22Neonatal+intensive+care%22">Neonatal intensive care</searchLink><br /><searchLink fieldCode="DE" term="%22Ambulances%22">Ambulances</searchLink><br /><searchLink fieldCode="DE" term="%22Axilla%22">Axilla</searchLink><br /><searchLink fieldCode="DE" term="%22Respiratory+measurements%22">Respiratory measurements</searchLink><br /><searchLink fieldCode="DE" term="%22Oxygen+saturation%22">Oxygen saturation</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+care+costs%22">Medical care costs</searchLink><br /><searchLink fieldCode="DE" term="%22Neonatal+intensive+care+units%22">Neonatal intensive care units</searchLink><br /><searchLink fieldCode="DE" term="%22Apnea%22">Apnea</searchLink><br /><searchLink fieldCode="DE" term="%22Neonatal+nursing%22">Neonatal nursing</searchLink><br /><searchLink fieldCode="DE" term="%22Hospital+admission+%26+discharge%22">Hospital admission & discharge</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Comparative+studies%22">Comparative studies</searchLink><br /><searchLink fieldCode="DE" term="%22Infant+incubators%22">Infant incubators</searchLink><br /><searchLink fieldCode="DE" term="%22Heart+rate+monitoring%22">Heart rate monitoring</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+effectiveness%22">Cost effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Automobile+driving%22">Automobile driving</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Oxygen+therapy%22">Oxygen therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Postnatal+care%22">Postnatal care</searchLink><br /><searchLink fieldCode="DE" term="%22Adverse+health+care+events%22">Adverse health care events</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Apgar+score%22">Apgar score</searchLink><br /><searchLink fieldCode="DE" term="%22Nurse+practitioners%22">Nurse practitioners</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+positioning%22">Patient positioning</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Patient+safety%22">Patient safety</searchLink><br /><searchLink fieldCode="DE" term="%22Children%22">Children</searchLink>
– Name: SubjectGeographic
  Label: Geographic Terms
  Group: Su
  Data: <searchLink fieldCode="DE" term="%22Sweden%22">Sweden</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: The positive effects of Kangaroo mother care in NICU's are well documented but, to a lesser extent, explored during inter‐hospital neonatal transport. Inter‐hospital transport, with the infant placed in a transport incubator, increases the risk of separation while infants in Kangaroo mother care position implies that the parents accompany the transport. There exists limited knowledge if physiological stability differs when transported in Kangaroo mother care position compared to transport in a transport incubator. Aims: The aim of this study was to compare physiological stability of infants transported via ground ambulance in either Kangaroo mother care position or positioned in a transport incubator. Method: In total, 24 infants were recruited to be transported between hospitals in either a Kangaroo mother care position (n = 16) or in a transport incubator (n = 8). Inclusion criteria were; current weight >1500 g; current gestational age above 31+0 weeks; no central catheter; no respiratory support and no planed painful or distressing interventions during the 48‐h follow‐up period post‐transport. Exclusion criteria were; infants whose parents did not speak or understand Swedish or English and infants with a current weight above 4500 g for the KMC group. Physiological stability was obtained during transport and for a 48‐h follow‐up period by measuring body temperature, respiratory and heart rate, oxygen saturation, pain score, transport risk assessment and number of interventions during transport and 48‐h post‐transport. Cost‐effectiveness and adverse events were also evaluated. Results: Both groups had comparable background characteristics and physiological stability during transport and for the 48‐h follow‐up period after transport. Transporting in Kangaroo mother care position was more cost‐effective. Study limitation: A small sample size in both groups. Conclusion: Transporting an infant in Kangaroo mother care position can be regarded as a choice of transport mode when the infant fulfils the set criteria. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
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  Data: <i>Copyright of Scandinavian Journal of Caring Sciences is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=160177181
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1111/scs.13000
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 997
    Subjects:
      – SubjectFull: Body temperature
        Type: general
      – SubjectFull: Pain measurement
        Type: general
      – SubjectFull: Infant care
        Type: general
      – SubjectFull: Neonatal intensive care
        Type: general
      – SubjectFull: Ambulances
        Type: general
      – SubjectFull: Axilla
        Type: general
      – SubjectFull: Respiratory measurements
        Type: general
      – SubjectFull: Oxygen saturation
        Type: general
      – SubjectFull: Medical care costs
        Type: general
      – SubjectFull: Neonatal intensive care units
        Type: general
      – SubjectFull: Apnea
        Type: general
      – SubjectFull: Neonatal nursing
        Type: general
      – SubjectFull: Hospital admission & discharge
        Type: general
      – SubjectFull: Risk assessment
        Type: general
      – SubjectFull: Comparative studies
        Type: general
      – SubjectFull: Infant incubators
        Type: general
      – SubjectFull: Heart rate monitoring
        Type: general
      – SubjectFull: Cost effectiveness
        Type: general
      – SubjectFull: Automobile driving
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Oxygen therapy
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Postnatal care
        Type: general
      – SubjectFull: Adverse health care events
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Apgar score
        Type: general
      – SubjectFull: Nurse practitioners
        Type: general
      – SubjectFull: Patient positioning
        Type: general
      – SubjectFull: Longitudinal method
        Type: general
      – SubjectFull: Patient safety
        Type: general
      – SubjectFull: Children
        Type: general
      – SubjectFull: Sweden
        Type: general
    Titles:
      – TitleFull: Exploring physiological stability of infants in Kangaroo Mother Care position versus placed in transport incubator during neonatal ground ambulance transport in Sweden.
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            NameFull: van den Berg, Johannes
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            – D: 01
              M: 12
              Text: Dec2022
              Type: published
              Y: 2022
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