Epidemiološke karakteristike novorođenčadi transportirane iz Opće bolnice Pula u tercijarni pedijatrijski centar u desetogodišnjem razdoblju (2006-2015)

Autor: Mladen Jašić, Mia Becker, Mirna Milevoj Ražem, Željana Jotanović
Jazyk: chorvatština
Rok vydání: 2017
Předmět:
Zdroj: Glasnik pulske bolnice
Volume 13
Issue 13
ISSN: 1845-2698
Popis: The goal of our study is to present epidemiological characteristics of neonates transferred from General Hospital Pula (GH Pula) to tertiary pediatric center in a ten-year-period. In our retrospective research we analized medical histories of neonates hospitalized at our Department from January 1st 2006 to December 31st 2015 and transferred to a tertiary pediatric center. There are about 1300-1500 live births in our hospital every year. In the ten-year-period 14266 neonates were born and 158 (1,1%) of them were transferred to a tertiary pediatric center. Hundred and fifty of them were transferred to University Hospital Center (UHC) Rijeka and 8 of them to UHC Zagreb. In forty-seven neonates (29,7%) had to be used mechanical ventilation during the transport. Thirty-two (20,3%) premature infants born before the 32nd gestational week were transferred to UHC. The reasons for transportation to a tertiary pediatric center were: congenital heart defects and rhytm abnormalities (N=41), respiratory problems (respiratory distress syndrome, pneumonia, neonatal meconium aspiration sindrome) (N=25), gastrointestinal disorders (N=21), disorders of central nervous system (N=15), disorders of hematological system (N=6), sepsis (N=7), perinatal asphyxia (N=3), disorders on extremities (N=1), metabolic disorders (N=2), chromosomopathies (N=), disorders of genital tract (N=2). Pregnancy complications were present in 53 cases. There were 146 singelton pregnancies and 6 twin pregnancies. One hundred neonates had vaginal delivery (63,3%), and fifty-eight neonates (36,7%) were delivered by cesarean section. Forty-one neonates were resuscitated after birth (25,9%). All premature infants born before the 32nd gestational week and all other premature neonates and term neonates that require long-term mechanical ventilation, specific diagnostic and therapeutic approach or surgical treatment are transferred to a tertiary pediatric center, using vehicles for ground transport with all the necessary equipment and with escort of our medical team. The majority of neonates were transported to UHC Rijeka, and only few neonates were transported to UHC Zagreb.
Databáze: OpenAIRE
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