Transporte neonatal seguro en la población abierta del estado de Jalisco: impacto del programa S.T.A.B.L.E. en la morbilidad y mortalidad

background. transporting newborn infants to third-level units is often disorganized, thus entailing several risks that may further compromise the health of newborn patients. methods. a prospective study was designed in orderto assess the impact ofthe s.t.a.b.l.e. program (sugarand safe care, temperature, airway, blood, lab work, emotional support) from 2005 to 2009 in regard to morbidity and mortality rates of newborn patients who had to be transferred from other regions within jalisco state or within guadalajara's metropolitan area to the neonatal intensive care unit ofthe civil hospital in guadalajara. the intervention process was based on applying the s.t.a.b.l.e. program to all newborns who needed to be transferred and was achieved with the intervention ofthe physicians regulating the emergency medical assistance system (samu) of the state of jalisco. a training course, as well as an educational brochure, was given to medical and paramedical staff from the medical assistance centers referring patients to our unit in orderto provide them with information on the s.t.a.b.l.e. program and its implementation. results. a total of 3,277 newborn infants were included in the study, 384 before the intervention program and 2,893 once the s.t.a.b.l.e. program was implemented. within the group transferred after the program's implementation, we observed a greater incidence of patients with normal body temperature upon admission to the receiving unit [516 (87%) vs. 227 (59%); p < 0.01 ] as well as with blood glucose figures within the normal range [690 (93%) vs. 173 (45%); p < 0.001]. mortality during the hospitalization period in the receiving unit was lower in the group treated after the program's implementation [405 (14%) vs. 84 (22%); p < 0.05]. after the intervention process, more patients were transported in incubators [2,806 (97%) vs. 200 (52%); p < 0.001] and equally, pulse oximetry monitoring methods were applied in a greater number of patients [2,575 (89%) vs. 235 (6