Early neonatal outcomes of very-low-birth-weight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society.
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Koc Esin, Demirel Nihal, Bas Ahmet Yagmur, Ulubas Isik Dilek, Hirfanoglu Ibrahim Murat, Tunc Turan, Sari Fatma Nur, Karatekin Guner, Ozdemir Ramazan, Altunhan Huseyin, Cetinkaya Merih, Ozcan Beyza, Ozkiraz Servet, Calkavur Sebnem, Tekgunduz Kadir Serafettin, Tastekin Ayhan, Ozlu Ferda, Mutlu Ozyurt Banu, Ozdemir Ahmet, Cetinkaya Bilin, Demirelli Yasar, Koklu Esad, Celik Ulker, Tarakci Nuriye, Armangil Didem, Okulu Emel, Narter Fatma, Mutlu Birgul, Mert Mustafa Kurthan, Bulbul Ali, Asker Huseyin Selim, Uygur Ozgun, Uslu Ilker Sait, Ertugrul Sabahattin, Aydemir Cumhur, Celik Hasan Tolga, Kucuktasci Kazim, Arslan Selda, Ergin Hacer, Zenciroglu Aysegul, Yurttutan Sadik, Orman Aysen, Tuncer Oguz, Yasa Beril, Acunas Betul, Takci Sahin, Gokmen Zeynel, Ozkan Hilal, Comert Serdar, Ustun Nuran, Mutlu Mehmet, Bayraktar Bilge Tanyeri, Bilgin Leyla, Tuzun Funda, Aydemir Ozge, Gursoy Tugba, Akdag Arzu, Memisoglu Asli, Can Emrah, Terek Demet, Beken Serdar, Turan Ozden, Guzoglu Nilufer, Ors Rahmi, Kale Yusuf, Hekimoglu Berna, Aylanc Hakan, Eroglu Funda, Sahin Suzan, Konak Murat, Sarici Dilek, Kilic Ilknur, Hakan Nilay
Аннотация
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: bronchopulmonary dysplasia 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.