Mortality and morbidity of very low birth weight preterm infants: Short-term outcomes Düşük doǧum aǧirlikli erken doǧmuş bebeklerde erken dönem hastalik ve ölüm orani sonuçlari
Turk Pediatri Arsivi, cilt.43, sa.3, ss.94-98, 2008 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 43 Sayı: 3
- Basım Tarihi: 2008
- Dergi Adı: Turk Pediatri Arsivi
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.94-98
- Anahtar Kelimeler: Morbidity, Mortality, Preterm, Very low birth weight
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Aim: The aim of this study was to evaluate clinical problems and short-term outcomes of preterm infants. Material and Method: The data of preterm infants with gestational ages ≤36 weeks and birth weight between 500-1500 g who were admitted to the Neonatal Intensive Care Unit (NICU) between January 2002 and December 2006 were analysed retrospectively. Results: During this time period 224 preterm infants were admitted to the NICU. The gender, mean gestational age and mean birth weight of the infants were 43.8% males, 56.2% females; 29.8±3.0 weeks (range 23-36 weeks) and 1122±294 g (530-1500 g) retrospectively. The rate of multiple pregnancies was 17% and the administration of antenatal steroid was 12.1%. Perinatal asphyxia stages I, II and III were found 12.1%, 5.8% and 5.8% respectively. The respiratory distress syndrome was diagnosed in 72% of the infants and mild, moderate and severe forms of respiratory distress syndrome were found in 27.7%, 16.5% and 28.1% respectively. The patients were treated with supplemental oxygen support (26.8%), continuous positive airway pressure (17.4%) and conventinal mechanical ventilation (44.6%). Surfactant was given to 21% of the infants. Intraventricular hemorrhage grade I, II, III were recorded in: 6.7%, 10.3% and 7.1% respectively, and intraparenchymal hemorrhage developed in 3.1% of the infants. The rates of retinopathy of prematurity for stages I, II, III, IV were 11.8%, 12.5%, 3.4%, 0.7%; and the rates of necrotizing enterocolitis were stages I, II, III were 6.7%, 3.1%, 1.3% respectively. Culture positive sepsis was diagnosed in 12.5% of the study group and in 44.2% of the infants clinical sepsis was noted according to the clinical and laboratory data. The total mortality rate was found to be 35.7% and 73.1% of these babies were under 1000 g at birth. Conclusions: Very low birth weight babies, especially those with a birthweight under 1000 g have mortality rate which is still very high, To be aware of early and late outcomes of preterm infants is necessary to achieve further improvements in the outcome of these babies.