Mortality Risk Factors in Neonates Requiring Interhospital Transport
Электронный научный архив УРФУ
Информация об архиве | Просмотр оригинала| Поле | Значение | |
| Заглавие |
Mortality Risk Factors in Neonates Requiring Interhospital Transport
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| Автор |
Mukhametshin, R. F.
Kovtun, O. P. Davydova, N. S. Kurganski, A. A. |
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| Тематика |
NEONATAL INTENSIVE CARE
NEWBORN TRANSPORTATION OXYGENATION INDEX RISK OF DEATH THREAT-METRIC SCALE CATECHOLAMINE EPINEPHRINE ARTICLE COHORT ANALYSIS FRACTION OF INSPIRED OXYGEN GESTATION PERIOD GESTATIONAL AGE HIGH FREQUENCY VENTILATION HUMAN MAJOR CLINICAL STUDY MORTALITY RISK NEWBORN NEWBORN DEATH NEWBORN INFECTION OBSERVATIONAL STUDY OXYGENATION PROGNOSIS RESUSCITATION RISK FACTOR |
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| Описание |
Objective. To identify predictors of newborn infants mortality before medical evacuation. Materials and methods. The observational, cohort, retrospective study included 564 newborns: 526 patients survived and 38 died after 604 visits of the resuscitation-consultation Center transport team (critical care transport — CCT team). Patient’s anamnesis, objective data of a patient at the time of examination by CCT team, the volume of intensive care provided and treatment adjustments during preparation for the transfer, records of patient’s monitored parameters and indicators of prognosis were analyzed. Results. Compared to survivors, non-survivors neonates exhibited significant increases in premature newborns (gestation period <29 weeks in 55.26% vs 10.27% in survivors, P<0.001) and significantly increased need in a high-frequency ventilation (7.89% [1.66–21.38] vs 0.57% [0.12–1.66] in survivors, P=0.005), and in catecholamines support (use of adrenaline was 13.51% [4.54–28.77] in non-survivors vs 0.76% [0.21–1.94] in survivors, P<0.001). Both early and late neonatal infections predominated in non-survivors: ([26.32% [13.40–43.10] vs 8,75% [6,47–11,49, early infection, non-survivors vs. survivors, respectively, P=0.002) and (23.6% 8 [11.44–40.24] vs 10.46% [7.97–13.39], late infection, non-survivors vs. survivors, respectively, P=0.028). Significant differences in the fraction of inspired oxygen (30% [30–30] vs 45% [30–60], P<0.001), oxygenation saturation index (2.71 [2.54–3.03] vs 4.48 [2.55–7.67], P<0.001), and SpO₂/FiO₂ ratio (316.67 [313.33–320] vs 207.25 [151.67–313.33] P<0.001) were found between the groups of survived vs. non-survived neonates, respectively. Logistic regression model revealed following markers of neonatal mortality: birth weight, development of early and late neonatal infection, and the oxygenation saturation index. Conclusion. Low birth weight, development of early or late neonatal infection and an increase in the oxygenation saturation index are the risk factors of death in newborns requiring medical evacuation. © 2023, V.A. Negovsky Research Institute of General Reanimatology. All rights reserved.
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| Дата |
2024-04-05T16:24:12Z
2024-04-05T16:24:12Z 2023 |
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| Тип |
Article
Journal article (info:eu-repo/semantics/article) |info:eu-repo/semantics/publishedVersion |
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| Идентификатор |
Мухаметшин, РФ, Ковтун, ОП, Давыдова, НС & Курганский, АА 2023, 'ФАКТОРЫ РИСКА ЛЕТАЛЬНОГО ИСХОДА НОВОРОЖДЕННЫХ, НУЖДАЮЩИХСЯ В МЕЖГОСПИТАЛЬНОЙ ТРАНСПОРТИРОВКЕ', Общая реаниматология, Том. 19, № 2, стр. 23-32. https://doi.org/10.15360/1813-9779-2023-2-2231
Мухаметшин, Р. Ф., Ковтун, О. П., Давыдова, Н. С., & Курганский, А. А. (2023). ФАКТОРЫ РИСКА ЛЕТАЛЬНОГО ИСХОДА НОВОРОЖДЕННЫХ, НУЖДАЮЩИХСЯ В МЕЖГОСПИТАЛЬНОЙ ТРАНСПОРТИРОВКЕ. Общая реаниматология, 19(2), 23-32. https://doi.org/10.15360/1813-9779-2023-2-2231 1813-9779 Final All Open Access, Gold https://www.scopus.com/inward/record.uri?eid=2-s2.0-85160419960&doi=10.15360%2f1813-9779-2023-2-2231&partnerID=40&md5=1b47f353294f8536d96ad69ecb78d520 https://www.reanimatology.com/rmt/article/download/2231/1720 http://elar.urfu.ru/handle/10995/130523 50782956 10.15360/1813-9779-2023-2-2231 85160419960 |
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| Язык |
ru
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| Права |
Open access (info:eu-repo/semantics/openAccess)
cc-by https://creativecommons.org/licenses/by/4.0/ |
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| Формат |
application/pdf
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| Издатель |
V.A. Negovsky Research Institute of General Reanimatology
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| Источник |
General Reanimatology
Obshchaya Reanimatologiya |
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