Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support?
Decision making to transfer a late preterm or term neonate with the diagnosis of transient tachypnea of the newborn (TTN) to an intensive care unit for respiratory support is a challenge for caregivers in level one and two NICUs. The aim of this study was to identify "practical bedside c...
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| Format: | Article |
| Language: | English |
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Hacettepe University Institute of Child Health
2016-08-01
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| Series: | The Turkish Journal of Pediatrics |
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| Online Access: | https://turkjpediatr.org/article/view/1132 |
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| author | Dilek Kahvecioğlu Ufuk Çakır Duran Yıldız Serdar Alan Ömer Erdeve Begüm Atasay Saadet Arsan |
| author_facet | Dilek Kahvecioğlu Ufuk Çakır Duran Yıldız Serdar Alan Ömer Erdeve Begüm Atasay Saadet Arsan |
| author_sort | Dilek Kahvecioğlu |
| collection | DOAJ |
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Decision making to transfer a late preterm or term neonate with the diagnosis of transient tachypnea of the newborn (TTN) to an intensive care unit for respiratory support is a challenge for caregivers in level one and two NICUs. The aim of this study was to identify "practical bedside clinical clues" that may help to predict the severity of disease and need for respiratory support in patients with the diagnosis of TTN. Newborns having the diagnosis of TTN were classified into two groups according to the intensity of the respiratory support. Infants receiving only supplemental oxygen and infants requiring nasal continuous positive airway pressure or mechanical ventilation constituted group 1 (mild) and group 2 (severe), respectively. Demographic, clinical and laboratory characteristics were compared between the two groups. Patients in group 2 had lower gestational age, higher Silverman and Richardson scores, longer mean duration of oxygen support and hospitalization. A positive correlation was found between subcostal and xiphoid retractions, asynchrony in chest-abdomen movements, arterial pH < 7.30, ratio of PaO 2 / % inspired O 2 < 1.2 and need of respiratory support (p < 0.05). We suggest that simple scores can help physicians to get a good sense of a given baby's likelihood of deterioration.
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| format | Article |
| id | doaj-art-b2fec77ca549433c85986dedce3a8842 |
| institution | DOAJ |
| issn | 0041-4301 2791-6421 |
| language | English |
| publishDate | 2016-08-01 |
| publisher | Hacettepe University Institute of Child Health |
| record_format | Article |
| series | The Turkish Journal of Pediatrics |
| spelling | doaj-art-b2fec77ca549433c85986dedce3a88422025-08-20T02:55:21ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212016-08-0158410.24953/turkjped.2016.04.009Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support?Dilek Kahvecioğlu0Ufuk Çakır1Duran Yıldız2Serdar Alan3Ömer Erdeve4Begüm Atasay5Saadet Arsan6Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey.Division of Neonatology, Department of Pediatrics, Ankara University Faculty of Medicine, Ankara, Turkey. Decision making to transfer a late preterm or term neonate with the diagnosis of transient tachypnea of the newborn (TTN) to an intensive care unit for respiratory support is a challenge for caregivers in level one and two NICUs. The aim of this study was to identify "practical bedside clinical clues" that may help to predict the severity of disease and need for respiratory support in patients with the diagnosis of TTN. Newborns having the diagnosis of TTN were classified into two groups according to the intensity of the respiratory support. Infants receiving only supplemental oxygen and infants requiring nasal continuous positive airway pressure or mechanical ventilation constituted group 1 (mild) and group 2 (severe), respectively. Demographic, clinical and laboratory characteristics were compared between the two groups. Patients in group 2 had lower gestational age, higher Silverman and Richardson scores, longer mean duration of oxygen support and hospitalization. A positive correlation was found between subcostal and xiphoid retractions, asynchrony in chest-abdomen movements, arterial pH < 7.30, ratio of PaO 2 / % inspired O 2 < 1.2 and need of respiratory support (p < 0.05). We suggest that simple scores can help physicians to get a good sense of a given baby's likelihood of deterioration. https://turkjpediatr.org/article/view/1132richardson scoresilverman scoretransient tachypnea of the newborn |
| spellingShingle | Dilek Kahvecioğlu Ufuk Çakır Duran Yıldız Serdar Alan Ömer Erdeve Begüm Atasay Saadet Arsan Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support? The Turkish Journal of Pediatrics richardson score silverman score transient tachypnea of the newborn |
| title | Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support? |
| title_full | Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support? |
| title_fullStr | Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support? |
| title_full_unstemmed | Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support? |
| title_short | Transient tachypnea of the newborn: are there bedside clues for predicting the need of ventilation support? |
| title_sort | transient tachypnea of the newborn are there bedside clues for predicting the need of ventilation support |
| topic | richardson score silverman score transient tachypnea of the newborn |
| url | https://turkjpediatr.org/article/view/1132 |
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