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Early neonatal outcomes of very-low-birthweight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society

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info:eu-repo/semantics/openAccess

Date

2019

Author

Koç, Esin
Demirel, Nihal
Baş, Ahmet Yağmur
Işık, Dilek Ulubaş
Hirfanoǧlu, İbrahim Murat
Tunç, Turan
Sari, Fatma Nur
Karatekin, Güner
Özdemir, Ramazan
Altunhan, Hüseyin
Çetinkaya, Merih
Özcan, Beyza
Özkiraz, Servet
Çalkavur, Şebnem
Tekgündüz, Kadir Şerafettin
Taştekin, Ayhan
Özlü, Ferda
Özyurt, Banu Mutlu
Özdemir, Ahmet
Çetinkaya, Bilin
Demirelli, Yaşar
Köklü, Esad
Çelik, Ülker
Tarakçı, Nuriye
Armangil, Didem
Okulu, Emel
Narter, Fatma Kaya
Mutlu, Birgül
Mert, Mustafa Kurthan
Bülbül, Ali
Asker, Hüseyin Selim
Uygur, Özgün
Uslu, İlker Sait
Ertuǧrul, Sabahattin
Aydemir, Cumhur
Çelik, Hasan Tolga
Küçüktaşçı, Kazım
Arslan, Selda
Ergin, Hacer
Zenciroğlu, Ayşegül
Yurttutan, Sadık
Orman, Ayşen
Tuncer, Oǧuz
Yaşa, Beril
Acunaş, Betül Ayşe
Takçı, Şahin
Gökmen, Zeynel
Özkan, Hilal
Cömert, Serdar
Üstün, Nuran Uzunalic
Mutlu, Mehmet
Bayraktar, Bilge Tanyeri
Bilgin, Leyla Karadeniz
Tüzün, Funda
Aydemir, Özge
Gürsoy, Tuǧba
Akdaǧ, Arzu
Memişoǧlu, Aslı Çınar
Can, Emrah
Terek, Demet Tümay
Turan, Özden
Güzoǧlu, Nilüfer
Örs, Rahmi
Kale, Yusuf
Hekimoğlu, Berna
Aylanç, Hakan
Eroglu, Funda
Şahin, Suzan
Konak, Murat
Sarıcı, Dilek
Kılıç, İlknur
Hakan, Nilay

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Citation

Koç, E., Demirel, N., Baş, A. Y., Işık, D. U., Hirfanoǧlu, İ. M., Tunç, T. ve diğerleri. (2019). Early neonatal outcomes of very-low-birthweight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society. PLoS ONE, 14(12), e0226679.

Abstract

Objective To investigate the early neonatal outcomes of very-low-birth-weight (VLBW) infants discharged home from neonatal intensive care units (NICUs) in Turkey. Material and methods A prospective cohort study was performed between April 1, 2016 and April 30, 2017. The study included VLBW infants admitted to level III NICUs. Perinatal and neonatal data of all infants born with a birth weight of ≤1500 g were collected for infants who survived. Results Data from 69 NICUs were obtained. The mean birth weight and gestational age were 1137 ±245 g and 29±2.4 weeks, respectively. During the study period, 78% of VLBW infants survived to discharge and 48% of survived infants had no major neonatal morbidity. VLBW infants who survived were evaluated in terms of major morbidities: Bronchopulmonarydysplasia was detected in 23.7% of infants, necrotizing enterocolitis in 9.1%, blood culture proven late-onset sepsis (LOS) in 21.1%, blood culture negative LOS in 21.3%, severe intraventricular hemorrhage in 5.4% and severe retinopathy of prematurity in 11.1%. Hemodynamically significant patent ductus arteriosus was diagnosed in 24.8% of infants. Antenatal steroids were administered to 42.9% of mothers. Conclusion The present investigation is the first multicenter study to include epidemiological information on VLBW infants in Turkey. Morbidity rate in VLBW infants is a serious concern and higher than those in developed countries. Implementation of oxygen therapy with appropriate monitoring, better antenatal and neonatal care and control of sepsis may reduce the prevalence of neonatal morbidities. Therefore, monitoring standards of neonatal care and implementing quality improvement projects across the country are essential for improving neonatal outcomes in Turkish NICUs.

Source

PLoS ONE

Volume

14

Issue

12

URI

https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0226679
https://hdl.handle.net/11468/7476

Collections

  • Makine Mühendisliği Bölümü Koleksiyonu [19]
  • Scopus İndeksli Yayınlar Koleksiyonu [529]



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