Etiology, diagnosis, and treatment in childhood atelectasis

dc.authorid0000-0003-3105-0409
dc.authorid0000-0002-7950-2067
dc.contributor.authorAtağ, Emine
dc.contributor.authorÇakmak, Selen Ceren
dc.contributor.authorKalın, Sevinç
dc.contributor.authorKaya, Büşra
dc.contributor.authorKarakayalı, Burcu
dc.contributor.authorErdoğan, Seher
dc.contributor.authorErgenekon, Almala Pınar
dc.contributor.authorErdem Eralp, Ela
dc.contributor.authorÖktem, Sedat
dc.contributor.authorSözeri, Betül
dc.date.accessioned2023-03-30T10:08:06Z
dc.date.available2023-03-30T10:08:06Z
dc.date.issued2021
dc.departmentİstanbul Medipol Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü, Çocuk Sağlığı ve Hastalıkları Ana Bilim Dalı
dc.description.abstractIntroduction: Atelectasis is the loss of lung volume secondary to collapse. Narrow and collapsible airways and underlying chronic diseases facilitate the development of atelectasis in children. Since atelectasis is an important cause of morbidity and mortality in children, early diagnosis and treatment are of great importance. Methods: Thirty-six patients who were followed up in the pediatric service and pediatric intensive care unit of our clinic be - tween December 1, 2018, and June 1, 2019, and were diagnosed radiologically with atelectasis were evaluated retrospectively. Results: The median age was 1.85 years (1.0–7.37). The most common cause for hospitalization was pneumonia (n=30, 83%). Except for two patients, all patients had an underlying disease that increased the risk of atelectasis. Neurological diseases were the most common diseases among the underlying diseases (n=12, 36%). For the treatment, 4 (11.1%) patients received chest physiotherapy, 19 (52.7%) patients received nebulized medications, and chest physiotherapy, and 13 (36.1%) patients received positive end-expiratory pressure support in addition to these treatments. The frequency of atelectasis in more than one localization was higher in children with the neurological disease than in other patients (n=7, [54%] vs. n=3, [13%]; p=0.018). In patients with atelectasis in more than one localization, the duration of hospitalization was longer (median 12.5 days [9.5–16.75] vs. 19 days [13–22.75]; p=0.034). Discussion and Conclusion: Atelectasis is common in hospitalized children with an underlying disease. In the presence of pathological respiratory symptoms and signs, atelectasis should be kept in mind, and treatment should be started early.
dc.identifier.citationAtağ, E., Çakmak, S. C., Kalın, S., Kaya, B., Karakayalı, B., Erdoğan, S. ... Sözeri, B. (2021). Etiology, diagnosis, and treatment in childhood atelectasis. Haydarpaşa Numune Medical Journal, 61(2), 139-144. https://dx.doi.org/10.14744/hnhj.2020.97059
dc.identifier.doi10.14744/hnhj.2020.97059
dc.identifier.endpage144
dc.identifier.issn2630-5720
dc.identifier.issue2
dc.identifier.startpage139
dc.identifier.urihttps://dx.doi.org/10.14744/hnhj.2020.97059
dc.identifier.urihttps://hdl.handle.net/20.500.12511/10764
dc.identifier.volume61
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorAtağ, Emine
dc.institutionauthorÖktem, Sedat
dc.language.isoen
dc.publisherHaydarpaşa Numune Training and Research Hospital
dc.relation.ispartofHaydarpaşa Numune Medical Journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsAttribution-NonCommercial 4.0 International*
dc.rightsinfo:eu-repo/semantics/openAccess
dc.rights.urihttps://creativecommons.org/licenses/by-nc/4.0/*
dc.subjectAtelectasis
dc.subjectChild
dc.subjectPulmonology
dc.titleEtiology, diagnosis, and treatment in childhood atelectasis
dc.typeArticle

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