Assessment of risk factors to predict the duration of tachypnea in the management of infants hospitalized with transient tachypnea of newborns.

Yıl 2022, Cilt: 3 Sayı: 2, 114 - 122, 10.05.2022

Fatih Kılıçbay , Gaffari Tunç , Gülşah Ünsal

https://doi.org/10.51972/tfsd.1091894

Öz

Objective: The aim of this study was to determine risk factors to predict the duration of tachypnea in the management of infants hospitalized with transient tachypnea of newborns (TTN).
Methods: This prospective study included newborns diagnosed with TTN separated into two groups of those with tachypnea lasting <72 hrs (Group 1) or >72 hrs (Group 2). The two groups were compared in respect of clinical and laboratory findings.
Results: The newborns in Group 1 were observed to have a lower birth weight and lower gestational age, and higher rate of SGA. These infants were determined to have a higher rate of antenatal steroid administration, longer duration of ventilation, and longer hospital stay. The cord blood gas oxygen levels and TSH levels were lower, and the hemogram parameters of WBC and PCT levels were significantly higher in Group 1.
Conclusions: Assessment of cord blood gas oxygen levels may be useful in predicting the clinical course of TTN.

Anahtar Kelimeler

newborns, transient tachypnea of newborns, predictive factors, prolonged tachypnea

Kaynakça

• Alhassen, Z., Vali, P., Guglani, L., Lakshminrusimha, S., & Ryan, R. M. (2021). Recent Advances in Pathophysiology and Management of Transient Tachypnea of Newborn. Journal of Perinatology, 41(1), 6–16. https://doi.org/10.1038/s41372-020-0757-3
• Blickstein, I., & Green, T. (2007). Umbilical Cord Blood Gases. Clinics in Perinatology, 34(3), 451–459. https://doi.org/10.1016/j.clp.2007.05.001
• Bozkaya, D., Yiğit, Ş., & Yurdakök, M. (2019). Is serum procalcitonin level a reliable indicator in early diagnosis of congenital pneumonia? Turkish Journal of Pediatrics, 61(1), 34–39. https://doi.org/10.24953/turkjped.2019.01.006
• Çakan, M., Nalbantoǧlu, B., Nalbantoǧlu, A., Demrsoy, U., & Say, A. (2011). Correlation between transient tachypnea of the newborn and wheezing attack. Pediatrics International, 53(6), 1045–1050. https://doi.org/10.1111/j.1442-200X.2011.03438.x