Evaluation of Short-Term Outcomes of Preterm Infants in 2 Periods: Vermont Oxford Network Results of a Developing Country's Single- Center Level IIIC Neonatal Intensive Care Unit Experience

This study aimed to compare the short-term outcomes of infants from our level IIIC neonatal intensive care unit in 2 different periods. In this cohort study, data from preterm infants (≤29 weeks and birth weight

Gespeichert in:

Bibliographische Detailangaben
Veröffentlicht in:	Turkish Archives of Pediatrics 2023-03, Vol.58 (2), p.159-167
Hauptverfasser:	Yılmaz, Aslan, Kaya, Nesrin, Alp Ünkar, Zeynep, Ulu, Ersin, Aydın, Sümeyye Nur, Perk, Yıldız, Vural, Mehmet
Format:	Artikel
Sprache:	eng
Schlagworte:	Care and treatment Comparative analysis Infants (Premature) Neonatal intensive care Original Patient outcomes Pediatric research Quality management Treatment outcome
Online-Zugang:	Volltext
Tags:	Tag hinzufügen Keine Tags, Fügen Sie den ersten Tag hinzu!

container_end_page	167
container_issue	2
container_start_page	159
container_title	Turkish Archives of Pediatrics
container_volume	58
creator	Yılmaz, Aslan Kaya, Nesrin Alp Ünkar, Zeynep Ulu, Ersin Aydın, Sümeyye Nur Perk, Yıldız Vural, Mehmet
description	This study aimed to compare the short-term outcomes of infants from our level IIIC neonatal intensive care unit in 2 different periods. In this cohort study, data from preterm infants (≤29 weeks and birth weight
doi_str_mv	10.5152/TurkArchPediatr.2023.22253
format	Article
fullrecord	<record><control><sourceid>gale_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10081092</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A742378189</galeid><sourcerecordid>A742378189</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3523-e07fd1a20f3191fe172f8f6965505f36779980110d0749b416355e7e2aded51e3</originalsourceid><addsrcrecordid>eNpdUl1v0zAUjRCITWN_AVm8wEuKP-o42QuqQoFIFa1Yx6vlJdetWWIX2ynbj-O_4a5jGsgP9j3nnuNr62TZG4InnHD6fj36m5lvtyvojIp-QjFlE0opZ8-yUyq4yAvKi-dPzifZeQg_MMZUVGxaiJfZCStKXjDOTrPf873qRxWNs8hpdLl1PuZr8ANajrF1A4QDvPIQD1hjtbIxIGMRRSvwxnXhAn1PlLMRLW-18x36CvGX8zfoG4Sxj_d6hT7CHnq3M3aDajfa6O_eBnSZyh5yVINN9mhx6EFN09TJw1kVVaoSY4PZA6qVB3RlTUTz2126GmwLr7IXWvUBzh_2s-zq03xdf8kXy89NPVvkLeOU5YCF7oiiWDNSEQ1EUF3qoio4x1yzQoiqKjEhuMNiWl1PSfobDgKo6qDjBNhZ9uHouxuvB-jaNK9Xvdx5Myh_J50y8l_Gmq3cuL0kGJcEVzQ5vHtw8O7nCCHKwYQW-l5ZcGOQVJSEEk4wSa2TY-tG9SCN1S5Ztml1MJjWWdAm4TMxpSyJyioJLo6C1rsQPOjHwQiWh9DI_0IjD6GR96FJ4tdPn_Yo_RsR9gduucRn</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2781215101</pqid></control><display><type>article</type><title>Evaluation of Short-Term Outcomes of Preterm Infants in 2 Periods: Vermont Oxford Network Results of a Developing Country's Single- Center Level IIIC Neonatal Intensive Care Unit Experience</title><source>DOAJ Directory of Open Access Journals</source><source>PubMed Central</source><creator>Yılmaz, Aslan ; Kaya, Nesrin ; Alp Ünkar, Zeynep ; Ulu, Ersin ; Aydın, Sümeyye Nur ; Perk, Yıldız ; Vural, Mehmet</creator><creatorcontrib>Yılmaz, Aslan ; Kaya, Nesrin ; Alp Ünkar, Zeynep ; Ulu, Ersin ; Aydın, Sümeyye Nur ; Perk, Yıldız ; Vural, Mehmet ; Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey ; Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><description><![CDATA[This study aimed to compare the short-term outcomes of infants from our level IIIC neonatal intensive care unit in 2 different periods. In this cohort study, data from preterm infants (≤29 weeks and birth weight <1500 g) registered in the Vermont Oxford Network system were divided into 2 periods, the first period between January 1, 2005, and December 31, 2009, and the second between January 1, 2010, and December 31, 2019. There was no difference in the distribution of preterm infants according to their gestational age subgroups (P = .169). Although the survival rate increased significantly in the second period (48.1% vs. 64.3% (P < .001), there was no difference in terms of survival without morbidity (P = .480). The frequency of antenatal care (P < .001), antenatal maternal steroid use (P < .001), cesarean section (P = .025), and small for gestational age (P < .003) increased in the second period. Surfactant treatment in the delivery room (P < .003), neonatal intensive care unit (P < .001), and nasal continuous positive airway pressure use before intubation as a part of initial resuscitation (P < .001), nosocomial infections (P = .001), patent ductus arteriosus requiring medical treatment (P = .011), and necrotizing enterocolitis (P = .014) were significantly more common, but early neonatal sepsis (P = .002) and discharge home with only formula (P = .010) were less in the second period. Differences were noted in the prognosis and treatment choices of preterm infants in the same unit between 2 periods. The analysis of neonatal intensive care unit data, through rigorous methods, may provide opportunities for the development of quality improvement projects to improve the quality of health care in developing countries.]]></description><identifier>ISSN: 2757-6256</identifier><identifier>EISSN: 2757-6256</identifier><identifier>DOI: 10.5152/TurkArchPediatr.2023.22253</identifier><identifier>PMID: 36856353</identifier><language>eng</language><publisher>Turkey: AVES</publisher><subject>Care and treatment ; Comparative analysis ; Infants (Premature) ; Neonatal intensive care ; Original ; Patient outcomes ; Pediatric research ; Quality management ; Treatment outcome</subject><ispartof>Turkish Archives of Pediatrics, 2023-03, Vol.58 (2), p.159-167</ispartof><rights>COPYRIGHT 2023 AVES</rights><rights>2023 authors 2023 authors</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081092/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC10081092/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36856353$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yılmaz, Aslan</creatorcontrib><creatorcontrib>Kaya, Nesrin</creatorcontrib><creatorcontrib>Alp Ünkar, Zeynep</creatorcontrib><creatorcontrib>Ulu, Ersin</creatorcontrib><creatorcontrib>Aydın, Sümeyye Nur</creatorcontrib><creatorcontrib>Perk, Yıldız</creatorcontrib><creatorcontrib>Vural, Mehmet</creatorcontrib><creatorcontrib>Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><title>Evaluation of Short-Term Outcomes of Preterm Infants in 2 Periods: Vermont Oxford Network Results of a Developing Country's Single- Center Level IIIC Neonatal Intensive Care Unit Experience</title><title>Turkish Archives of Pediatrics</title><addtitle>Turk Arch Pediatr</addtitle><description><![CDATA[This study aimed to compare the short-term outcomes of infants from our level IIIC neonatal intensive care unit in 2 different periods. In this cohort study, data from preterm infants (≤29 weeks and birth weight <1500 g) registered in the Vermont Oxford Network system were divided into 2 periods, the first period between January 1, 2005, and December 31, 2009, and the second between January 1, 2010, and December 31, 2019. There was no difference in the distribution of preterm infants according to their gestational age subgroups (P = .169). Although the survival rate increased significantly in the second period (48.1% vs. 64.3% (P < .001), there was no difference in terms of survival without morbidity (P = .480). The frequency of antenatal care (P < .001), antenatal maternal steroid use (P < .001), cesarean section (P = .025), and small for gestational age (P < .003) increased in the second period. Surfactant treatment in the delivery room (P < .003), neonatal intensive care unit (P < .001), and nasal continuous positive airway pressure use before intubation as a part of initial resuscitation (P < .001), nosocomial infections (P = .001), patent ductus arteriosus requiring medical treatment (P = .011), and necrotizing enterocolitis (P = .014) were significantly more common, but early neonatal sepsis (P = .002) and discharge home with only formula (P = .010) were less in the second period. Differences were noted in the prognosis and treatment choices of preterm infants in the same unit between 2 periods. The analysis of neonatal intensive care unit data, through rigorous methods, may provide opportunities for the development of quality improvement projects to improve the quality of health care in developing countries.]]></description><subject>Care and treatment</subject><subject>Comparative analysis</subject><subject>Infants (Premature)</subject><subject>Neonatal intensive care</subject><subject>Original</subject><subject>Patient outcomes</subject><subject>Pediatric research</subject><subject>Quality management</subject><subject>Treatment outcome</subject><issn>2757-6256</issn><issn>2757-6256</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNpdUl1v0zAUjRCITWN_AVm8wEuKP-o42QuqQoFIFa1Yx6vlJdetWWIX2ynbj-O_4a5jGsgP9j3nnuNr62TZG4InnHD6fj36m5lvtyvojIp-QjFlE0opZ8-yUyq4yAvKi-dPzifZeQg_MMZUVGxaiJfZCStKXjDOTrPf873qRxWNs8hpdLl1PuZr8ANajrF1A4QDvPIQD1hjtbIxIGMRRSvwxnXhAn1PlLMRLW-18x36CvGX8zfoG4Sxj_d6hT7CHnq3M3aDajfa6O_eBnSZyh5yVINN9mhx6EFN09TJw1kVVaoSY4PZA6qVB3RlTUTz2126GmwLr7IXWvUBzh_2s-zq03xdf8kXy89NPVvkLeOU5YCF7oiiWDNSEQ1EUF3qoio4x1yzQoiqKjEhuMNiWl1PSfobDgKo6qDjBNhZ9uHouxuvB-jaNK9Xvdx5Myh_J50y8l_Gmq3cuL0kGJcEVzQ5vHtw8O7nCCHKwYQW-l5ZcGOQVJSEEk4wSa2TY-tG9SCN1S5Ztml1MJjWWdAm4TMxpSyJyioJLo6C1rsQPOjHwQiWh9DI_0IjD6GR96FJ4tdPn_Yo_RsR9gduucRn</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Yılmaz, Aslan</creator><creator>Kaya, Nesrin</creator><creator>Alp Ünkar, Zeynep</creator><creator>Ulu, Ersin</creator><creator>Aydın, Sümeyye Nur</creator><creator>Perk, Yıldız</creator><creator>Vural, Mehmet</creator><general>AVES</general><general>Turkish Pediatrics Association</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IAO</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230301</creationdate><title>Evaluation of Short-Term Outcomes of Preterm Infants in 2 Periods: Vermont Oxford Network Results of a Developing Country's Single- Center Level IIIC Neonatal Intensive Care Unit Experience</title><author>Yılmaz, Aslan ; Kaya, Nesrin ; Alp Ünkar, Zeynep ; Ulu, Ersin ; Aydın, Sümeyye Nur ; Perk, Yıldız ; Vural, Mehmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3523-e07fd1a20f3191fe172f8f6965505f36779980110d0749b416355e7e2aded51e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Care and treatment</topic><topic>Comparative analysis</topic><topic>Infants (Premature)</topic><topic>Neonatal intensive care</topic><topic>Original</topic><topic>Patient outcomes</topic><topic>Pediatric research</topic><topic>Quality management</topic><topic>Treatment outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yılmaz, Aslan</creatorcontrib><creatorcontrib>Kaya, Nesrin</creatorcontrib><creatorcontrib>Alp Ünkar, Zeynep</creatorcontrib><creatorcontrib>Ulu, Ersin</creatorcontrib><creatorcontrib>Aydın, Sümeyye Nur</creatorcontrib><creatorcontrib>Perk, Yıldız</creatorcontrib><creatorcontrib>Vural, Mehmet</creatorcontrib><creatorcontrib>Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><creatorcontrib>Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale Academic OneFile</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Turkish Archives of Pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yılmaz, Aslan</au><au>Kaya, Nesrin</au><au>Alp Ünkar, Zeynep</au><au>Ulu, Ersin</au><au>Aydın, Sümeyye Nur</au><au>Perk, Yıldız</au><au>Vural, Mehmet</au><aucorp>Department of Public Health, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</aucorp><aucorp>Department of Neonatology, Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation of Short-Term Outcomes of Preterm Infants in 2 Periods: Vermont Oxford Network Results of a Developing Country's Single- Center Level IIIC Neonatal Intensive Care Unit Experience</atitle><jtitle>Turkish Archives of Pediatrics</jtitle><addtitle>Turk Arch Pediatr</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>58</volume><issue>2</issue><spage>159</spage><epage>167</epage><pages>159-167</pages><issn>2757-6256</issn><eissn>2757-6256</eissn><abstract><![CDATA[This study aimed to compare the short-term outcomes of infants from our level IIIC neonatal intensive care unit in 2 different periods. In this cohort study, data from preterm infants (≤29 weeks and birth weight <1500 g) registered in the Vermont Oxford Network system were divided into 2 periods, the first period between January 1, 2005, and December 31, 2009, and the second between January 1, 2010, and December 31, 2019. There was no difference in the distribution of preterm infants according to their gestational age subgroups (P = .169). Although the survival rate increased significantly in the second period (48.1% vs. 64.3% (P < .001), there was no difference in terms of survival without morbidity (P = .480). The frequency of antenatal care (P < .001), antenatal maternal steroid use (P < .001), cesarean section (P = .025), and small for gestational age (P < .003) increased in the second period. Surfactant treatment in the delivery room (P < .003), neonatal intensive care unit (P < .001), and nasal continuous positive airway pressure use before intubation as a part of initial resuscitation (P < .001), nosocomial infections (P = .001), patent ductus arteriosus requiring medical treatment (P = .011), and necrotizing enterocolitis (P = .014) were significantly more common, but early neonatal sepsis (P = .002) and discharge home with only formula (P = .010) were less in the second period. Differences were noted in the prognosis and treatment choices of preterm infants in the same unit between 2 periods. The analysis of neonatal intensive care unit data, through rigorous methods, may provide opportunities for the development of quality improvement projects to improve the quality of health care in developing countries.]]></abstract><cop>Turkey</cop><pub>AVES</pub><pmid>36856353</pmid><doi>10.5152/TurkArchPediatr.2023.22253</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
fulltext	fulltext
identifier	ISSN: 2757-6256
ispartof	Turkish Archives of Pediatrics, 2023-03, Vol.58 (2), p.159-167
issn	2757-6256 2757-6256
language	eng
recordid	cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10081092
source	DOAJ Directory of Open Access Journals; PubMed Central
subjects	Care and treatment Comparative analysis Infants (Premature) Neonatal intensive care Original Patient outcomes Pediatric research Quality management Treatment outcome
title	Evaluation of Short-Term Outcomes of Preterm Infants in 2 Periods: Vermont Oxford Network Results of a Developing Country's Single- Center Level IIIC Neonatal Intensive Care Unit Experience
url	https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-09T22%3A46%3A33IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20of%20Short-Term%20Outcomes%20of%20Preterm%20Infants%20in%202%20Periods:%20Vermont%20Oxford%20Network%20Results%20of%20a%20Developing%20Country's%20Single-%20Center%20Level%20IIIC%20Neonatal%20Intensive%20Care%20Unit%20Experience&rft.jtitle=Turkish%20Archives%20of%20Pediatrics&rft.au=Y%C4%B1lmaz,%20Aslan&rft.aucorp=Department%20of%20Public%20Health,%20Istanbul%20University-Cerrahpasa,%20Cerrahpasa%20Faculty%20of%20Medicine,%20Istanbul,%20Turkey&rft.date=2023-03-01&rft.volume=58&rft.issue=2&rft.spage=159&rft.epage=167&rft.pages=159-167&rft.issn=2757-6256&rft.eissn=2757-6256&rft_id=info:doi/10.5152/TurkArchPediatr.2023.22253&rft_dat=%3Cgale_pubme%3EA742378189%3C/gale_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2781215101&rft_id=info:pmid/36856353&rft_galeid=A742378189&rfr_iscdi=true