Title Dugoročni ishodi prematuriteta
Title (english) Long-term outcomes of premature infants
Author Dorotea Smrkulj
Mentor Iva Bilić Čače (mentor)
Committee member Jelena Roganović (predsjednik povjerenstva)
Committee member Kristina Lah Tomulić (član povjerenstva)
Committee member Goran Palčevski (član povjerenstva)
Granter University of Rijeka Faculty of Medicine (Department of Pediatrics) Rijeka
Defense date and country 2020-07-17, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Pediatrics
Abstract Prematuritet se definira pomoću gestacijske dobi, odnosno vremena koje je prošlo od prvog dana zadnje menstruacije do poroda. Dogovorno, normalno vrijeme gestacije iznosi 40 tjedana, stoga novorođenčad koja je rođena prije 37. tjedna gestacije nazivamo nedonešenom, tj. nedonoščad. Uz gestacijsku dob u evaluaciji zrelosti nedonoščadi u obzir se uzimaju i podaci o rodnoj masi. Fiziološke i anatomske osobitosti nedonoščadi i funkcionalna nezrelost, koja postaje sve izraženija smanjenjem tjedna GA i BW-a pri rođenju, može biti uzrok otežanoj prilagodbi na ekstrauterini život te posljedično pojave komplikacija. Iako su napredak intenzivne njege, noviji terapeutski pristup i implementacija evidence-based postupaka u svakodnevnu kliničku praksu, doveli do smanjenja sveukupne stope mortaliteta prematurusa, spektar komplikacija koje se mogu pojaviti i dalje je vrlo širok. Neurorazvojne poteškoće i kronične bolesti identificirane su kao najznačajnije komplikacije koje se dovode u vezu s prematuritetom, s obzirom da njihova pojavnost u najvećoj mjeri utječe na kvalitetu života pojedinca kako u zdravstvenom, tako i u socioekonomskom aspektu. Razumijevanje istih u djece i odraslih koji su rođeni prije vremena može bitno poboljšati pristup i skrb za te pacijente. Čini se da je korisno promatrati prematuritet kao samostalni rizični čimbenik te podatke o gestacijskoj dobi djeteta uvrstiti u svakodnevni rad liječnika obiteljske medicine i pedijatara u primarnoj zdravstvenoj zaštiti, ali i kliničara zaposlenih u sekundarnim i tercijarnim ustanovama, kako bi sveukupna priprema, dijagnostika i skrb o pacijentu dosegla svoj puni potencijal.
Abstract (english) Prematurity is defined by gestational age, estimated from the beginning of the woman's last Prematurity is defined by gestational age, estimated from the beginning of the woman's last menstrual period to the day of the delivery. Normal gestational age is agreed to be 40 weeks, therefore all newborns born before 37th gestational week are considered preterms or preemies. While evaluating the maturity of preterms, birth weight is also considered. Physiological and anatomical differences in preterms and their fuctional immaturity, which expresses more as the GA and BW are lower, can cause more difficult adjustment to extrauterine life and, consequently, more complications. Even though the advances made in the field of intensive care, new therapeutic approaches and implementation of evidence-based medicine in the clinical practice lead to lower mortality rates in preterms, the variability of complications that can arrise is still extensive. Neurodevelopmental difficulties and chronic illnesses are identified to be the most prominent complications in preterms, considering their incidence affects one's the quality of life both health-wise and socioeconomically. Their understanding in prematurely born children and adults alike lead to significantly better approach and care of those patients. Observing and implementing data about prematurity, as well as gestational age, as an independent risk factor proved to be very useful to primary care physicians, both family medicine and pediatrics specialists,as well as physicians working in secondary and tertiary medical centres, in order for complete diagnostic and therapeutic patient care to reach its full potential.
Keywords
prematuritet
dugoročne komplikacije
kronične bolesti
mentalno zdravlje
socijalne posljedice
ekonomske posljedice
Keywords (english)
prematurity
long-term complications
chronic illnesses
mental health
social consequences
economic consequences
Language croatian
URN:NBN urn:nbn:hr:184:376009
Study programme Title: Medicine Study programme type: university Study level: integrated undergraduate and graduate Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2020-11-26 17:52:01