Çocuk Acil Servisine Başvuran Yenidoğan Profilinin İncelenmesi

Year 2024, , 32 - 36, 31.03.2024

Selen Şimşek Pervane , Çidem Çiçek , Halit Halil

https://doi.org/10.54996/anatolianjem.1396395

Abstract

Amaç: Yenidoğan bebekler silik yakınmaları nedeniyle hastalıkları gözden kaçabilen bazense hasta olmadıkları halde çeşitli yakınmaları nedeniyle hasta sanılabilen hassas bir popülasyondur. Uygun koşullarda ve uzman hekim tarafından muayenesi gereken bu grubun çocuk acil servisine başvurmaları tercih edilmemekle beraber bu durumla sık karşılaşılmaktadır. Bu çalışmadayenidoğanların çocuk acil servise başvuru şekillerinin incelenmesi amaçlanmıştır. Başvuru yakınmaları, alınan tetkikler ve taburculuk
bilgileri değerlendirilmiştir.

Gereç ve Yöntem: Ocak 2020 ile Eylül 2023 arasında Çocuk Acil Servisi’ne herhangi bir yakınma ile getirilen 0-28 günlük bebekler hastane veritabanından retrospektif olarak incelenmiştir.

Bulgular: Çalışma süresince çocuk acil servise başvuran toplam 228 yenidoğan bebek incelenmiştir. Bunların içinde en sık başvuruyu 4-7 günlük bebekler oluşturmaktadır. En sık başvuru yakınması sarılık olarak saptanmış, bunu huzursuzluk ve göbek ilişkili yakınmalar takip etmiştir. Bebeklerin çoğunluğundan kan tetkiki istenmiş ve en sık kan istenme endikasyonu sarılık olarak belirlenmiştir. Acile başvuran bebeklerin 198’i (%86,8) taburcu edilirken 30’una (%13,2) yatış gerekmiştir. Bebeklerin yaklaşık onda birinde acil servise tekrarlayan başvuru saptanmıştır.

Sonuç: Yenidoğanların acil servise en sık başvuru şikayetlerini sarılık, huzursuzluk, göbek ilişkili yakınmalar, uyanmama, ateş, kusma, öksürük ve burun tıkanıklığı oluşturmaktadır. 17 hastaya 1.basamak yenidoğan yoğun bakım ünitesine yatış verilmiş, 13 hastaise ileri tetkik ve tedavi amacıyla tam teşekküllü hastaneye
yönlendirilmiştir.

Keywords

Çocuk acil, yenidoğan bebekler, acil, yenidoğan

Investigation of the Profile of Newborns Presenting to the Pediatric Emergency Department

Abstract

Aim: Newborn babies are a sensitive population whose diseases may be overlooked due to their faint complaints and sometimes they may be thought to be sick due to various complaints although they are not sick. Although it is not preferred that this group, which should be examined under appropriate conditions and by a specialist physician, present to the pediatric emergency department, this situation is frequently encountered. The aim of this study was to investigate the presentation patterns of newborns to the pediatric emergency department. Presenting complaints, investigations and discharge information were evaluated.

Material and Methods: Infants aged 0-28 days who were brought to the Pediatric Emergency Department with any complaint between January 2020 and September 2023 were retrospectively analyzed from the hospital database.

Results: A total of 228 newborn babies admitted to the pediatric emergency department during the study period were examined. Among these, 4-7 days old infants were the most frequently admitted infants. The most common presenting complaint was jaundice, followed by restlessness and umbilical complaints. Blood tests were requested from the majority of the babies and the most common indication for blood tests was jaundice. While 198 (86.8%) of the babies admitted to the emergency department were discharged, 30 (13.2%) required hospitalization. Repeated admission to the emergency department was found in approximately one tenth of the infants.

Conclusion: The most common complaints of neonates admitted to the emergency department were jaundice, restlessness, umbilical complaints, not waking up, fever, vomiting, cough and nasal congestion. 17 patients were admitted to the first level neonatal intensive care unit and 13 patients were referred to a full-fledged hospital for further investigation and treatment.

Keywords

Pediatric emergency, newborn infants, emergency, newborn

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