Title Poremećaji disanja u novorođenčeta Title (english) Respiratory disorders in the newborn Author Una Drača Mentor Mladen Jašić (mentor)Committee member Mauro Štifanić (predsjednik povjerenstva)Committee member Mladen Jašić (član povjerenstva)Committee member Emina Pustijanac (član povjerenstva)Granter University of Pula Defense date and country 2020-12-14, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Poremećaji disanja jedan su od najčešćih problema koji se javljaju u novorođenačkoj dobi. Manifestiraju se kao poremećaji ritma i frekvencije disanja. U istraživanju prikazano je 140 novorođenčadi s poremećajima disanja, hospitaliziranih na Odjelu za pedijatriju, u Jedinici za bolesnu novorođenčad i nedonoščad u petogodišnjem razdoblju (1.1.2015. – 31.12.2019.) Opće bolnice Pula. Cilj je bio analizirati i prikazati karakteristike novorođenčadi s poremećajima disanja, te ih usporediti s podacima iz literature. Iz rezultata je vidljivo da su najčešći uzroci poremećaja disanja RDS, prolazna novorođenačka tahipneja i nedonešenost te da se poremećaji disanja najčešće javljaju kod muškog spola (61%). Najčešće korištene dijagnostičke metode bile su radiogram grudnih organa i krvne pretrage (kompletna krvna slika, C-reaktivni protein i plinska analiza kapilarne krvi). Ovisno o uzroku i težini kliničke slike terapijske metode koje su primjenjene bile su smještanje novorođenčeta u inkubator/bebiterm, primjena kisika, egzogenog surfaktanta, infuzije, antibiotika, nazalnog CPAP-a, fototerapije, intubacije i u težim slučajevima mehaničke ventilacije (13 novorođenčadi koje je zahtijevalo mehaničku ventilaciju transportirano je u Klinički centar). Prosječno trajanje liječenja bilo je 8,5±7,1 (medijan 7,0, raspon 1,0-34,0) dana, a ukupna cijena liječenja iznosila je 1 074 449 kuna.
Abstract (english) Respiratory disorders are one of the most common problems that occur in newborns. They manifest as rhythm and breathing disorders. The study showed 140 newborns with respiratory disorders, hospitalized at the Department of Pediatrics, in the Unit for Sick Newborns and Premature Infants in a five-year period (1.1.2015. - 31.12.2019.) General Hospital Pula. The aim was to analyze and present the characteristics of newborns with respiratory disorders, and to compare them with data from the literature. The results show that the most common causes of respiratory disorders are RDS, transient neonatal tachypnea and prematurity, and that respiratory disorders are most common in males (61%). The most commonly used diagnostic methods were chest radiographs and blood tests (complete blood count, C-reactive protein, and capillary blood gas analysis). Depending on the cause and severity of the clinical picture, the therapeutic methods used were placement of the newborn in an incubator / bebiterm, administration of oxygen, exogenous surfactant, infusion, antibiotics, nasal CPAP, phototherapy, intubation and in severe cases mechanical ventilation (13 neonates required mechanical ventilation was transported to the Clinical Center). The average duration of treatment was 8.5 ± 7.1 (median 7.0, range 1.0-34.0) days, and the total cost of treatment was HRK 1,074,449.
Keywords
sestrinstvo
pedijatrija
novorođenče
dijagnostika
asfiksija
poremećaji disanja
respiratorni distres sindrom
troškovi
Keywords (english)
Nursing
Pediatrics
newborn
diagnosis
asphyxia
respiratory disorders
respiratory distress syndrome
costs
Language croatian URN:NBN urn:nbn:hr:137:517881 Study programme Title: Nursing Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2021-01-12 12:15:12
