1781 The Predictive Factors in the Progress of Transient Tachypnea of the Newborn
Aim To determine the clinical risk factors to predict the progress of TTN in late-preterm and term infants. Methods The infants with the diagnosis of TTN were evaluated retrospectively. Patients were divided into two groups according to the intensity of respiratory support. Group-1 received any vent...
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| Veröffentlicht in: | Archives of disease in childhood 2012-10, Vol.97 (Suppl 2), p.A504-A504 |
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| creator | Okulu, E Kahvecioğlu, D Kılıç, A Alan, S Akin, IM Atasay, B Arsan, S |
| description | Aim To determine the clinical risk factors to predict the progress of TTN in late-preterm and term infants. Methods The infants with the diagnosis of TTN were evaluated retrospectively. Patients were divided into two groups according to the intensity of respiratory support. Group-1 received any ventilatory support, where group-2 only oxygen. Clinical findings, Richardson and Silverman scores were compared. Results One-hundred-six (19.1%) infants were evaluated (68 in group-1, 38 in group-2). Mean gestational age and birth weight were lower in group-2. The C/S and male gender rates were similar. Richardson scores, Silverman scores, peak-respiratory rates (pRR) and oxygen need (FiO2) in the first 24-hours were higher, duration of respiratory support and hospitalization were longer in group-1. The cut-off for Richardson score was 3, and patients whose score higher than 3 had a 6.98-fold-risk, the cut-off for Silverman score was 5 and whose score higher than 5 had a 7.46-fold risk, and the cut-off for pRR in first 24-hours was 75/min and whose pRR was higher than 75/min in first 24-hours had a 1.10-fold risk of receiving ventilatory support (95%CI: 2.30–21.18, 2.54–21.89, and 1.035–1.17, p |
| doi_str_mv | 10.1136/archdischild-2012-302724.1781 |
| format | Article |
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Methods The infants with the diagnosis of TTN were evaluated retrospectively. Patients were divided into two groups according to the intensity of respiratory support. Group-1 received any ventilatory support, where group-2 only oxygen. Clinical findings, Richardson and Silverman scores were compared. Results One-hundred-six (19.1%) infants were evaluated (68 in group-1, 38 in group-2). Mean gestational age and birth weight were lower in group-2. The C/S and male gender rates were similar. Richardson scores, Silverman scores, peak-respiratory rates (pRR) and oxygen need (FiO2) in the first 24-hours were higher, duration of respiratory support and hospitalization were longer in group-1. The cut-off for Richardson score was 3, and patients whose score higher than 3 had a 6.98-fold-risk, the cut-off for Silverman score was 5 and whose score higher than 5 had a 7.46-fold risk, and the cut-off for pRR in first 24-hours was 75/min and whose pRR was higher than 75/min in first 24-hours had a 1.10-fold risk of receiving ventilatory support (95%CI: 2.30–21.18, 2.54–21.89, and 1.035–1.17, p<0.01, respectively). Conclusions TTN, is usually a benign and self-limited disease and the prognosis is generally excellent. Assessment of Richardson score, Silverman score, and pRR in first 24-hours of patients may be useful in predicting clinical course of TTN. So by predicting of the intensity for ventilatory support in the patients, it is important to plan and provide the appropriate level of care for these infants.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/archdischild-2012-302724.1781</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Body Weight ; Infants ; Patients ; Risk factors ; Young Children</subject><ispartof>Archives of disease in childhood, 2012-10, Vol.97 (Suppl 2), p.A504-A504</ispartof><rights>2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2012 (c) 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttp://adc.bmj.com/content/97/Suppl_2/A504.1.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttp://adc.bmj.com/content/97/Suppl_2/A504.1.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,3196,23571,27924,27925,77600,77631</link.rule.ids></links><search><creatorcontrib>Okulu, E</creatorcontrib><creatorcontrib>Kahvecioğlu, D</creatorcontrib><creatorcontrib>Kılıç, A</creatorcontrib><creatorcontrib>Alan, S</creatorcontrib><creatorcontrib>Akin, IM</creatorcontrib><creatorcontrib>Atasay, B</creatorcontrib><creatorcontrib>Arsan, S</creatorcontrib><title>1781 The Predictive Factors in the Progress of Transient Tachypnea of the Newborn</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Aim To determine the clinical risk factors to predict the progress of TTN in late-preterm and term infants. Methods The infants with the diagnosis of TTN were evaluated retrospectively. Patients were divided into two groups according to the intensity of respiratory support. Group-1 received any ventilatory support, where group-2 only oxygen. Clinical findings, Richardson and Silverman scores were compared. Results One-hundred-six (19.1%) infants were evaluated (68 in group-1, 38 in group-2). Mean gestational age and birth weight were lower in group-2. The C/S and male gender rates were similar. Richardson scores, Silverman scores, peak-respiratory rates (pRR) and oxygen need (FiO2) in the first 24-hours were higher, duration of respiratory support and hospitalization were longer in group-1. The cut-off for Richardson score was 3, and patients whose score higher than 3 had a 6.98-fold-risk, the cut-off for Silverman score was 5 and whose score higher than 5 had a 7.46-fold risk, and the cut-off for pRR in first 24-hours was 75/min and whose pRR was higher than 75/min in first 24-hours had a 1.10-fold risk of receiving ventilatory support (95%CI: 2.30–21.18, 2.54–21.89, and 1.035–1.17, p<0.01, respectively). Conclusions TTN, is usually a benign and self-limited disease and the prognosis is generally excellent. Assessment of Richardson score, Silverman score, and pRR in first 24-hours of patients may be useful in predicting clinical course of TTN. So by predicting of the intensity for ventilatory support in the patients, it is important to plan and provide the appropriate level of care for these infants.</description><subject>Body Weight</subject><subject>Infants</subject><subject>Patients</subject><subject>Risk factors</subject><subject>Young Children</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqVkE1PwzAMhiMEEmPwHyIhjoU4H0124IAmBogxmChco7RNacbWjqQD9u9pKUJcOVmyn9eWH4ROgJwCsPjM-KzMXchKt8wjSoBGjFBJ-SlIBTtoADxWbZ_zXTQghLBopJTaRwchLEhLK8UGaN6xOCktfvA2d1nj3i2emKypfcCuws33pH7xNgRcFzjxpgrOVg1OTFZu15U1XbvDZvYjrX11iPYKswz26KcO0dPkMhlfR9P7q5vxxTRKKeUQcVAFVVLFwoAQ0pCMQ5xTylKVpiOuBOFCQGGKnMWcW2BWWsgLyKRl0siUDdFxv3ft67eNDY1e1BtftSc1qPY5oSSHljrvqczXIXhb6LV3K-O3GojuLOq_FnVnUfcWdWemzUd93oXGfv6GjX_VsWRS6NnzWKvZ4-2dSOY6bnnV8-lq8c9TX1PaiOk</recordid><startdate>201210</startdate><enddate>201210</enddate><creator>Okulu, E</creator><creator>Kahvecioğlu, D</creator><creator>Kılıç, A</creator><creator>Alan, S</creator><creator>Akin, IM</creator><creator>Atasay, B</creator><creator>Arsan, S</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope></search><sort><creationdate>201210</creationdate><title>1781 The Predictive Factors in the Progress of Transient Tachypnea of the Newborn</title><author>Okulu, E ; Kahvecioğlu, D ; Kılıç, A ; Alan, S ; Akin, IM ; Atasay, B ; Arsan, S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b2241-418f287865a1557a0c416d223b8bb948504551fafd3644e13e7e1df1c7e37a7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Body Weight</topic><topic>Infants</topic><topic>Patients</topic><topic>Risk factors</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Okulu, E</creatorcontrib><creatorcontrib>Kahvecioğlu, D</creatorcontrib><creatorcontrib>Kılıç, A</creatorcontrib><creatorcontrib>Alan, S</creatorcontrib><creatorcontrib>Akin, IM</creatorcontrib><creatorcontrib>Atasay, B</creatorcontrib><creatorcontrib>Arsan, S</creatorcontrib><collection>Istex</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>ProQuest Central</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Biological Science Database</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Okulu, E</au><au>Kahvecioğlu, D</au><au>Kılıç, A</au><au>Alan, S</au><au>Akin, IM</au><au>Atasay, B</au><au>Arsan, S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>1781 The Predictive Factors in the Progress of Transient Tachypnea of the Newborn</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2012-10</date><risdate>2012</risdate><volume>97</volume><issue>Suppl 2</issue><spage>A504</spage><epage>A504</epage><pages>A504-A504</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>Aim To determine the clinical risk factors to predict the progress of TTN in late-preterm and term infants. Methods The infants with the diagnosis of TTN were evaluated retrospectively. Patients were divided into two groups according to the intensity of respiratory support. Group-1 received any ventilatory support, where group-2 only oxygen. Clinical findings, Richardson and Silverman scores were compared. Results One-hundred-six (19.1%) infants were evaluated (68 in group-1, 38 in group-2). Mean gestational age and birth weight were lower in group-2. The C/S and male gender rates were similar. Richardson scores, Silverman scores, peak-respiratory rates (pRR) and oxygen need (FiO2) in the first 24-hours were higher, duration of respiratory support and hospitalization were longer in group-1. The cut-off for Richardson score was 3, and patients whose score higher than 3 had a 6.98-fold-risk, the cut-off for Silverman score was 5 and whose score higher than 5 had a 7.46-fold risk, and the cut-off for pRR in first 24-hours was 75/min and whose pRR was higher than 75/min in first 24-hours had a 1.10-fold risk of receiving ventilatory support (95%CI: 2.30–21.18, 2.54–21.89, and 1.035–1.17, p<0.01, respectively). Conclusions TTN, is usually a benign and self-limited disease and the prognosis is generally excellent. Assessment of Richardson score, Silverman score, and pRR in first 24-hours of patients may be useful in predicting clinical course of TTN. So by predicting of the intensity for ventilatory support in the patients, it is important to plan and provide the appropriate level of care for these infants.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><doi>10.1136/archdischild-2012-302724.1781</doi><oa>free_for_read</oa></addata></record> |
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| subjects | Body Weight Infants Patients Risk factors Young Children |
| title | 1781 The Predictive Factors in the Progress of Transient Tachypnea of the Newborn |
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