Abstract
The hypothesis that in time of scarce resources (weekend, after midnight, etc.) ↑ utilization of the service would occur & possible adverse outcome. To test this, all NB moved in ′79 (853) were stratified by day & hour of transport. Excluded were elective, non-sick NB. Specific groups were noted: Resp. Distress & other diseases. Distribution of calls by shift was: 8-4, 45%; 4-12, 35%; Mid-8AM,20%. RESULTS: 1)Utilization by decreasing order: M, Tu, Fr, Wed, Thu, Sun, Sat. 2)Days of greatest survival are: M & Thu, while Fr & Sat are days of least survival X2=3(.05 <P <.10) 3) Most elective calls were on Wed. 4)No Sig. Dif. in mortality among 3 shifts, but of 21 shifts/wk. highest mortality was on Fri, Mid-8, & Sun 8-4. 5)Combined transports on Mon & Thu show a sig. lower mortality (13.8%) compared to Fri & Sat (20.7%) (x2=3.7, P<.05). Though there was less util. on weekends (Fri-Sat)↑mortality was noted. ↑ number & competency of staff is recommended for weekends in stabilizing & transporting sick neonates.
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