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MERSİN ÜNİVERSİTESİ YENİDOĞAN YOĞUN BAKIM ÜNİTESİNDE TEDAVİ EDİLEN ÇOK DÜŞÜK DOĞUM AĞIRLIKLI BEBEKLERİN DEĞERLENDİRİLMESİ

OUTCOMES OF VERY LOW BIRTH WEIGHT INFANTS TREATED IN NEONATAL INTENSIVE CARE UNIT OF MERSIN UNIVERSITY

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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.
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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