Etiology and Mortality Investigation in Neonates that Underwent Surgery

Abstract

Objective We aimed to examine the demographic characteristics, etiology and postoperative mortality rates of neonates operated on in our hospital. Methods The records of neonates who were operated in our tertiary care level university hospital between 2013 and 2019 were reviewed retrospectively. Patients with a diagnosis requiring surgical procedure, age (days), gender, anatomical region where the surgical procedure was performed, length of hospital stay and mortality rates were investigated. Results 329 neonates were included in the study of which 213 (64.75%) were male and 116 (35.25%) were female. Gastrointestinal system surgery was performed in 214 patients (65.04%), respiratory system surgery in 95 (28.87%) patients and urogenital system surgery in 17 (5.16%) patients. The mortality rate of 156 patients that were followed up in our neonatal unit in the postoperative period was 16.6%. The mortality rate of female babies (21.3%) was higher than that of male babies (13%). Considering the mortality rates of the patients according to the surgical areas, the highest mortality rate was found in respiratory system surgery (38.46%) which was trailed by gastrointestinal system surgery (12.28%) and genitourinary system surgery (7.69%), respectively. Conclusions Despite advances in neonatal care and surgical techniques, immaturity and congenital anomalies still have an important place among the most common causes of death in infants. In particular, the detection of organ dysfunctions due to congenital anomalies which are considered among the preventable causes of death in infants, efforts to correct them will be beneficial to a certain extent in reducing the mortality rates of neonates.

Keywords

• Neonatal
• surgical procedure
• mortality

Ameliyat Olan Yenidoğanlarda Etiyoloji ve Mortalite Araştırması

Abstract

Amaç Hastanemizde ameliyat edilen yenidoğanların demografik özelliklerini, etiyolojilerini ve postoperatif mortalite oranlarını incelemeyi amaçladık. Metod Üçüncü basamak üniversite hastanemizde 2013-2019 yılları arasında ameliyat edilen yenidoğanların kayıtları geriye dönük olarak incelendi. Cerrahi işlem gerektiren tanısı olan hastaların yaş (gün), cinsiyet, cerrahi işlemin yapıldığı anatomik bölge, hastanede kalış süreleri ve mortalite oranları araştırıldı. Bulgular Çalışmaya 213'ü (%64,75) erkek, 116'sı (%35,25) kız olmak üzere 329 yenidoğan alındı. 214 hastada (%65.04) gastrointestinal sistem cerrahisi, 95 (%28,87) hastada solunum sistemi cerrahisi ve 17 (%5.16) hastada ürogenital sistem cerrahisi uygulandı. Yenidoğan ünitemizde postoperatif dönemde takip edilen 156 hastanın mortalite oranı %16,6 idi. Kız bebeklerin ölüm oranı (%21,3) erkek bebeklerden (%13) daha yüksekti. Hastaların cerrahi alanlara göre ölüm oranlarına bakıldığında, en yüksek ölüm oranı solunum sistemi cerrahisinde (%38,46) bulunurken, bunu sırasıyla gastrointestinal sistem cerrahisi (%12,28) ve ürogenital sistem cerrahisi (%7,69) izledi. Sonuçlar Yenidoğan bakımı ve cerrahi tekniklerdeki gelişmelere rağmen, immatürite ve konjenital anomaliler, bebeklerde en sık ölüm nedenleri arasında hala önemli bir yer tutmaktadır. Özellikle bebeklerde önlenebilir ölüm nedenleri arasında sayılan doğumsal anomalilere bağlı organ işlev bozukluklarının saptanması, düzeltilmesine yönelik çabalar yenidoğan bebek ölüm oranlarının azaltılmasında bir ölçüde faydalı olacaktır.

Keywords

• Yenidoğan
• Cerrahi prosedür
• Mortalite

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