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Publication
Car seat challenge test in the Neonatal Intensive Care Unit
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Advisor(s)
Abstract(s)
Background: In Portugal, there is a Guideline of the Directorate General
of Health that requires that newborns with hospital discharge should be
transported home in a proper and safe restraint system, aligned with AAP
policy statements. In the Neonatal Intensive Care Unit (NICU) of Centro
Hospitalar Universitário de S. João (Porto, Portugal), the Car Seat Challenge
Test has been carried out since 2005, and there is not any study about its
safety.
Objective: This study aims to report the responses of preterm infants
discharged home in 2015 and to develop a standardized procedure for its
performance.
Methods: This is a descriptive, retrospective, observational, nonexperimental
study. Data was collected from the NICU nursing records with
a form designed for this purpose. Study variables were: gender, gestational
age, birth weight, and comorbidities. Saturation of oxygen in arterial blood
(SpO2) and heart rate (HR) values were measured at rest (in the crib), in the
car seat chair at time 0, 5, 15, 30, 45 and 60 minutes.
Results: During the year 2015, 86 preterm infants were discharged home,
and all had values of SpO2 and HR within the reference range for this age
group, during the Car Seat Challenge Test. The values decrease slightly
from the measurement at 15 minutes for both SpO2 and HR. Infants with and
without comorbidities had similar values of SpO2 (97-99.5%) and HR (135-
155 beats per minute [bpm]), with a small decrease at 15 minutes. Infants
with comorbidities did not regain saturation values after 30 minutes.
Conclusion: The Car Seat Challenge Test has been performed
systematically in the NICU since 2005. Data analyzed demonstrated it is
safe. A standardized procedure was developed to provide harmonization of
criteria.
Description
Keywords
Infant, premature Child restraint systems Intensive care units neonatal
Citation
Publisher
Hygeia Press di Corridori Marinella