Abstract

Indroduction and

Objective: Mortality of preterm infants has been decreased with recent developments in the neonatal intensive care units (NICU). This decrease is prominent especially in the extremely low birthweight (ELBW) preterm infants group. Intensive care unit short-term outcomes, features of the intensive care follow-up, the treatment, incidence and severity of comorbidity differ in this group than the others. Results of the data for this patient group is important to set the patient treatment and follow-up protocols. We aimed to present the data of ELBW preterm infants who are discharged from our NICU which is the largest one in Turkey.

Material and Methods: In this retrospective study, ELBW preterm infants who were followed-up at our Neonatology outpatient clinic of our hospital between January-2009 and July 2010 areincluded. Perinatal demographic features, intensive care follow-up features, short-term outcomes and comorbidities are recorded.

Results: A hundred and fifty-four ELBW preterm infants were included to the study. Among 113 survived ELBW preterm infants in the NICU mean gestational week, mean birth weight and mean maternal age were 26.9±1.8 weeks, 853±60 g and 27.7±5.6 years, respectively. During the hospitalization, patent ductus arteriosus (PDA) was observed in 53.9%, necrotizing enterocolitis (NEC) in 9.7%, pneumothorax in 5.5%, pulmonary hemorrhage in 9.8%, severe intracranial hemorrhage (stage 3 and 4) 21.4% and hydrocephalia requiring shunt operation was in 3.5% of the neonates. Retinopathy of premature (ROP) requiring treatment was observed in 23%. Bronchopulmonary dysplasia (BDP) was found to be 30.3% of the patients whereas only eight patients (8%) required home-oxygen treatment.

Conclusion: This first wide serie data presented in our country in ELBW premature neonates indicates that special treatment and follow-up policies should be set for the related comorbidities in the era of low mortality

Keywords: Extremely low birthweight, neonatal intensive care unit, premature

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How to cite

1.
Yurttutan S, Özdemir R, Sandal G, Öncel MY, Oğuz ŞS, Erdeve Ö, et al. DEMOGRAPHIC CHARACTERISTICS AND SHORT-TERM FOLLOW-UP OUTCOMES OF EXTREMELY LOW BIRTH WEIGHT INFANTS. Turk J Pediatr Dis [Internet]. 2011 Apr. 1 [cited 2025 May 25];5(4):208-13. Available from: https://turkjpediatrdis.org/article/view/158