OUTCOMES OF VERY LOW BIRTH WEIGHT INFANTS TREATED IN NEONATAL INTENSIVE CARE UNIT OF MERSIN UNIVERSITY
Journal Name:
- İstanbul Tıp Fakültesi Dergisi
Key Words:
Keywords (Original Language):
| Author Name | University of Author | Faculty of Author |
|---|---|---|
Abstract (2. Language):
Objective: The aim of this study was to determine specifications, medical interventions, complications and the mortality
and morbidity rates for infants weighing 500 to 1500 g (very low birth weight, VLBW) at birth who treated
in our neonatal intensive care unit.
Materials and methods: Perinatal data were collected from March 2002 to August 2006. Sociodemografic factors,
perinatal events, medical interventions and complications such as sepsis, intracranial hemorrhage (ICH), necrotizing
enterocolitis (NEC), retinopathy of prematurity (ROP), chronic lung disease (CLD) and mortality rates were
recorded.
Results: One hundred eighty five infants were evaluated in this study. Seventy-four percent of infants (n:134) survived
until discharge to home. The majority of deaths occurred within the first 3 days of life. The mechanical ventilation
rate was 47.6% (n: 88) and 34.1% (n:62) of the babies received exogenous surfactant. CLD developed in
16.8% (n:31) of all babies and the rate of intracranial hemorrhage was 5.4% (n:10). The median duration of hospitalization
for survivors was 29 days and for infants who died was 2 days.
Conclusions: The mortality rate for infants weighing between 500 and 1500 g at birth improved in 2002 to 2006.
The mortality and morbidity rates were comparable with those of the recent reports compared to previous mortality
rates reported from our country.
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Abstract (Original Language):
Amaç: Bu çal›flman›n amac›, Yenido¤an Yo¤un Bak›m Ünitemizde tedavi edilen 500-1500 gram aras›ndaki bebeklerin
özelliklerini, yap›lan giriflimleri, sa¤ kal›m ve sekel oranlar›n› saptamakt›.
Gereç ve yöntem: Mart 2002 ve A¤ustos 2006 tarihleri aras›ndaki perinatal veriler topland›. Her hastaya ait sosyodemografik
faktörler, perinatal olaylar, uygulanan tedaviler ve sepsis, kafa içine kanama (‹KK), nekrotizan
enterokolit (NEK), prematüre retinopatisi (ROP), kronik akci¤er hastal›¤› (KAH) ve mortalite oranlar› kaydedildi.
Bulgular: Çal›flmaya 185 bebek al›nd›. Bebeklerin % 74’ü (n:134) taburcu edildi. Ölen bebeklerin ço¤u ilk 3 gün
içinde kaybedildi. Bebeklerin % 47,6’s›na (n:88) mekanik ventilasyon uyguland›, % 34,1’ine (n:62) surfaktan
tedavisi verildi. Tüm bebeklerin % 16,8’inde (n:31) KAH ve % 5,4’ünde (n:10) ‹KK geliflti. Sa¤ kalan bebeklerin
ortanca yat›fl günü 29 gün, ölen bebeklerin ise 2 gündü.
Sonuç: 2002-2006 y›llar›nda 500-1500 gram a¤›rl›¤›ndaki bebeklerin sa¤ kal›m oranlar›, önceki y›llarda ülkemizden
bildirilen oranlara göre daha iyi bir düzeye gelmifltir. Gebelik yafl› ve do¤um a¤›rl›¤›yla yak›n iliflki gösteren
sa¤ kal›m ve morbidite oranlar›m›z, ülkemizden bildirilen di¤er çal›flmalar›n sonuçlar›yla benzer niteliktedir
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