Az igen kis súlýu újszülöttek respirációs szövodményeinek, túlé lésének és az intracraniális vérzés elofordulási gyakoriságának változása az elmúlt 15 év során

Translated title of the contribution: Ventilatory management of VLBW infants, change in survival and intracranial haemorrhage rate. The role of protocols

Éva Görbe, Judit Jeager, Ágnes Harmath, Barbara Kohalmi, Lilla Sassi, Mónika Perlaki, Barbara Pete, Zoltán Papp

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

The authors analysed complications of ventilatory management in VLBW infants. All the 654 VLBW infants were investigated in order to compare treatment data in 1989, 1999 and 2004. The combined effect of treatment-improvement and decreasing number of complications resulted in outcome-improvement. Chi-Square test as well as hierarchical log-linear analysis were applied to explore possible interactions in retrospective data of survival rate, year and birth weight of all patients. Survival rate improved from 53% to 88% in the past 15 years period in the VLBW infants. The complications of ventilatory management were reduced significantly and the survival rate had improved due to treatment. The prevention of air leak syndrome and BPD seems to be directly related to the decreasing mortality. The authors investigated the frequency of intracranial hemorrhage in the same patient group. Intracranial hemorrhage rate decreased during the last 10 years' period from 13.5% to 6.8% in VLBW infants. Survival rate following intracranial hemorrhage had improved from 19.2% to 66% (p=0.001). Though enhanced treatment in VLBW infants reduces the number of complications, the improved survival rate seems to be directly related to the improved outcome.

Original languageHungarian
Pages (from-to)421-426
Number of pages6
JournalMagyar Noorvosok Lapja
Volume69
Issue number5
Publication statusPublished - Nov 17 2006

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ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynaecology

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