Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores
Yıl: 2015 Cilt: 22 Sayı: 3 Sayfa Aralığı: 158 - 164 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores
Öz: Amaç: Çalışmamızda yenidoğanın geçici takipnesi tanılı hastaların hastanede kalış ve oksijen ihtiyacı sürelerinin fizik muayene ve laboratuvar bulguları ile öngörülmesi amaçlanmıştır. Gereç ve Yöntemler: Solunum sıkıntısı nedeniyle yenidoğan yoğun bakıma yatırılan ve kliniği 24 saat içerisinde düzelmeyen geçici takipne ön tanılı hastalar çalışmaya alındı. Çıkış tanıları izole yenidoğanın geçici takipnesi olarak devam eden 60 hastanın doğumdan sonraki 4. saatlerinde ve sonrasında günlük yapılan fizik muayene ve laboratuvar bulguları ile hastanede kalış süreleri karşılaştırıldı. Hastalar yatış retraksiyon skorları ve tedavi yöntemlerine göre 4 gruba ayrıldı. Bulgular: İlk gün hesaplanan retraksiyon skoru, kan gazındaki baz fazlası değeri ve ikinci gün idrar miktarının hastaların hastanede kalış süresindeki değişimin %73'ünü; oksijen ihtiyacı süresindeki değişimin %68,7'sini açıklayabildiği bulundu. Hastanede yatış süresine ve oksijen ihtiyacına etki eden en önemli faktör ilk gün ölçülen retraksiyon skoru olarak saptandı. Ağır solunum yetmezliğinin eşlik ettiği geçici takipne açısından erkek yenidoğanlar kızlara göre 5 kat daha riskli bulundu (OR: 5,06 %95 CI: 1,1-23,3, p: 0,037). Sezaryenle doğum, prematürite ve doğum ağırlığı ağır solunum yetmezliği açısından risk faktörü olarak saptanmadı. Sonuç: Mevcut çalışma geçici takipne tanılı yenidoğanlarda retraksiyon skoru bakılmasının prognozu öngörmede yardımcı olabileceğini göstermektedir. Hastalarda idrar miktarının artışı iyileşmenin bir bulgusu olarak ele alınabilir. Geçici takipnesi olan yenidoğanlarda ağır solunum yetmezliği riski erkeklerde kızlara göre 5 kat daha fazladır.
Anahtar Kelime: Konular:
Geçici Takipne Tanılı Yenidoğanlarda Retraksiyon Skoru Kullanarak Prognozun Öngörülmesi
Öz: Aim: The aim of this study is to evaluate the accuracy of physical and laboratory findings to determine the length of hospital stay and oxygen requirement in patients diagnosed with transient tachypnea of the newborn. Materials and Methods: Patients with respiratory distress symptoms that last more than 24 hours were admitted to the study. Sixty infants were analysed at the fourth hour and then daily in respect to their retraction scores, respiratory rates, urine outputs, blood gas measurements, and length of hospital stay. Infants were grouped into four categories according to their retraction scores and treatment modalities. Results: In the multiple regression analysis, the retraction scores and base excesses on the first day together with the urine output of the second-day were found to explain the 73% of the variance in the length of hospital stay and 68,7% of the variance in the oxygen requirement. The most important factor was found to be the retraction score of the first day. Boys were found to have five times higher risk than girls for severe transient tachypnea (OR: 5,06 %95 CI: 1,1-23,3, p: 0,037). Cesarean section, prematurity, and birth weight were not found to be risk factors for severe respiratory insufficiency. Conclusion: The present study proposes that clinicians may use the retraction scores to predict the length of hospital stay and oxygen requirements in neonates with transient tachypnea. The increase in urine output may be a sign of recovery. Male infants have five times higher risk of severe respiratory insufficiency due to transient tachypnea.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | KANBUROĞLU M, ÇİZMECİ M, KARA S, AKELMA A, TATLI M (2015). Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. , 158 - 164. |
| Chicago | KANBUROĞLU Mehmet Kenan,ÇİZMECİ Mehmet Nevzat,KARA Semra,AKELMA Ahmet Zülfikar,TATLI Mustafa Mansur Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. (2015): 158 - 164. |
| MLA | KANBUROĞLU Mehmet Kenan,ÇİZMECİ Mehmet Nevzat,KARA Semra,AKELMA Ahmet Zülfikar,TATLI Mustafa Mansur Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. , 2015, ss.158 - 164. |
| AMA | KANBUROĞLU M,ÇİZMECİ M,KARA S,AKELMA A,TATLI M Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. . 2015; 158 - 164. |
| Vancouver | KANBUROĞLU M,ÇİZMECİ M,KARA S,AKELMA A,TATLI M Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. . 2015; 158 - 164. |
| IEEE | KANBUROĞLU M,ÇİZMECİ M,KARA S,AKELMA A,TATLI M "Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores." , ss.158 - 164, 2015. |
| ISNAD | KANBUROĞLU, Mehmet Kenan vd. "Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores". (2015), 158-164. |
| APA | KANBUROĞLU M, ÇİZMECİ M, KARA S, AKELMA A, TATLI M (2015). Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 22(3), 158 - 164. |
| Chicago | KANBUROĞLU Mehmet Kenan,ÇİZMECİ Mehmet Nevzat,KARA Semra,AKELMA Ahmet Zülfikar,TATLI Mustafa Mansur Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 22, no.3 (2015): 158 - 164. |
| MLA | KANBUROĞLU Mehmet Kenan,ÇİZMECİ Mehmet Nevzat,KARA Semra,AKELMA Ahmet Zülfikar,TATLI Mustafa Mansur Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.22, no.3, 2015, ss.158 - 164. |
| AMA | KANBUROĞLU M,ÇİZMECİ M,KARA S,AKELMA A,TATLI M Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2015; 22(3): 158 - 164. |
| Vancouver | KANBUROĞLU M,ÇİZMECİ M,KARA S,AKELMA A,TATLI M Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2015; 22(3): 158 - 164. |
| IEEE | KANBUROĞLU M,ÇİZMECİ M,KARA S,AKELMA A,TATLI M "Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 22, ss.158 - 164, 2015. |
| ISNAD | KANBUROĞLU, Mehmet Kenan vd. "Determining Prognosis in Neonates with Transient Tachypnea by Using Retraction Scores". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 22/3 (2015), 158-164. |
