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

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dc.authorid0000-0003-1735-4318
dc.contributor.authorKoç, Esin
dc.contributor.authorDemi?rel, Nihal
dc.contributor.authorBaş, Ahmet Ya?mur
dc.contributor.authorUlubaş Işık, Dilek
dc.contributor.authorHirfano?lu, İbrahim Murat
dc.contributor.authorTunç, Turan
dc.contributor.authorSarı, Fatma Nur
dc.contributor.authorKaratekin, Güner
dc.contributor.authorÖzdemir, Ramazan
dc.contributor.authorAltunhan, Hüseyin
dc.contributor.authorÇetinkaya, Merih
dc.contributor.authorÖzcan, Beyza
dc.contributor.authorÖzkiraz, Servet
dc.contributor.authorÇalkavur, Şebnem
dc.contributor.authorTekgündüz, Kadir Şerafettin
dc.contributor.authorTaştekin, Ayhan
dc.contributor.authorÖzlü, Ferda
dc.contributor.authorMutlu Özyurt, Banu
dc.contributor.authorÖzdemir, Ahmet
dc.contributor.authorÇetinkaya, Bilin
dc.contributor.authorDemirelli, Yaşar
dc.contributor.authorKöklü, Esad
dc.contributor.authorÇelik, Ülker
dc.contributor.authorTarakçı, Nuriye
dc.contributor.authorArmangil, Didem
dc.contributor.authorOkulu, Emel
dc.contributor.authorKaya Narter, Fatma
dc.contributor.authorMutlu, Birgül
dc.contributor.authorMert, Mustafa Kurthan
dc.contributor.authorBülbül, Ali
dc.contributor.authorAsker, Hüseyin Selim
dc.contributor.authorUygur, Özgün
dc.contributor.authorUslu, İlker Sait
dc.contributor.authorErtu?rul, Sabahattin
dc.contributor.authorAydemir, Cumhur
dc.contributor.authorÇelik, Hasan Tolga
dc.contributor.authorKüçüktaşçı, Kazım
dc.contributor.authorArslan, Selda
dc.contributor.authorErgin, Hacer
dc.contributor.authorZenciro?lu, Ayşegül
dc.contributor.authorYurttutan, Sadık
dc.contributor.authorOrman, Ayşen
dc.contributor.authorTuncer, O?uz
dc.contributor.authorYaşa, Beril
dc.contributor.authorAcunaş, Betül Ayşe
dc.contributor.authorTakçı, Şahin
dc.contributor.authorGökmen, Zeynel
dc.contributor.authorÖzkan, Hilal
dc.contributor.authorCömert, Serdar
dc.contributor.authorÜstün, Nuran
dc.contributor.authorMutlu, Mehmet
dc.contributor.authorTanyeri Bayraktar, Bilge
dc.contributor.authorKaradeniz Bilgin, Leyla
dc.contributor.authorTüzün, Funda
dc.contributor.authorAydemir, Özge
dc.contributor.authorGürsoy, Tu?ba
dc.contributor.authorAkda?, Arzu
dc.contributor.authorMemişo?lu, Aslı Çınar
dc.contributor.authorCan, Emrah
dc.contributor.authorTümay Terek, Demet
dc.contributor.authorBeken, Serdar
dc.contributor.authorTuran, Özden
dc.contributor.authorGüzo?lu, Nilüfer
dc.contributor.authorÖrs, Rahmi
dc.contributor.authorKale, Yusuf
dc.contributor.authorHekimoğlu, Berna
dc.contributor.authorAylanç, Hakan
dc.contributor.authorEro?lu, Funda
dc.contributor.authorŞahin, Suzan
dc.contributor.authorKonak, Murat
dc.contributor.authorSarıcı, Dilek
dc.contributor.authorKılıç, İlknur
dc.contributor.authorHakan, Nilay
dc.date.accessioned2020-02-26T08:11:15Z
dc.date.available2020-02-26T08:11:15Z
dc.date.issued2019
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractObjective 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.
dc.identifier.citationKoç, E., Demi?rel, N., Baş, A. Y., Ulubaş Işık, D., Hirfano?lu, İ. M., Tunç, T. ... Hakan, N. (2019). Early neonatal outcomes of very-low-birthweight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society. PLoS ONE, 14(12). http://doi.org/10.1371/journal.pone.0226679
dc.identifier.doi10.1371/journal.pone.0226679
dc.identifier.issn1932-6203
dc.identifier.issue12
dc.identifier.scopusqualityQ1
dc.identifier.urihttp://doi.org/10.1371/journal.pone.0226679
dc.identifier.urihttps://hdl.handle.net/20.500.12511/4953
dc.identifier.volume14
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherPublic Library of Science
dc.relation.ispartofPloS ONEen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/*
dc.subjectEarly Neonatal Outcomes
dc.subjectInfants
dc.subjectStudy
dc.subjectTurkish Neonatal Society
dc.titleEarly neonatal outcomes of very-low-birthweight infants in Turkey: A prospective multicenter study of the Turkish Neonatal Society
dc.typeArticle

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