The impact of Neonatal Resuscitation Program courses on mortality and morbidity of newborn infants with perinatal asphyxia

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dc.authorwosidDuran, Rıdvan/C-1065-2015
dc.contributor.authorDuran, Ridvan
dc.contributor.authorAladag, Nuekhet
dc.contributor.authorVatansever, Uelfet
dc.contributor.authorSut, Necdet
dc.contributor.authorAcunas, Betuel
dc.date.accessioned2024-06-12T11:09:04Z
dc.date.available2024-06-12T11:09:04Z
dc.date.issued2008
dc.departmentTrakya Üniversitesien_US
dc.description.abstractObjective. Neonatal care provided within the first few minutes of life plays a major role in the reduction of neonatal morbidity and mortality. Neonatal Resuscitation Program (NRP) courses had been held since 1996. The aim of this study was to evaluate the impact of the NRP on morbidity and mortality of newborn infants with perinatal asphyxia. Methods. This retrospective study comprised newborn infants who were born in hospitals at Trakya region of Turkey during the last 3 years and were diagnosed as perinatal asphyxia and were referred to our Neonatal Unit. Those patients who were referred before NRP course (pretraining period) were designated as Group 1, those who were referred after the first NRP course (transition period) as Group 2, and those who were referred after the second NRP course (post-training period) as Group 3. Chart review was performed with regard to gestational age, birth weight, Apgar scores, resuscitation type, stage of hypoxic ischemic encephalopathy (HIE), existence of meconium aspiration syndrome (MAS), progress of the disease, duration of hospitalization. Results. The study comprised 66 patients; 35 in Group 1, 18 in Group 2 and 13 in Group 3. The number of cases who had not been resuscitated was 10 in the pretraining period, 3 in the transition period and I in the post-training period which decreased significantly. The first minute Apgar scores in three groups were as follows; 2.08 +/- 1.2, 2.2 +/- 1.1 and 3.7 +/- 1.4, and this increase was statistically significant. The fifth minute Apgar scores also increased from 5.43 +/- 1.5 in the pretraining period to 6.5 +/- 1.9 in the post-training period, but this increase was not statistically significant. The number of patients with Stage I and 2 HIE decreased more in Group 3 (n = I I in Stage I HIE, n = 17 in Stage 2 HIE) compared to those in Group I (n = 7 in Stage I HIE, n = 5 in Stage 2 HIE) but the difference was not statistically significant. The duration of hospitalization decreased in post-training period (15.1 +/- 10.3 days in pretraining period, 12.0 +/- 8.9 days in transition period, 6.1 +/- 1.2 days in post-training period). Conclusions. After NRP courses, the number of patients with perinatal asphyxia and with no resuscitation and also the duration of hospitalization decreased significantly, whereas the first minute Apgar scores increased significantly. (c) 2007 Elsevier B.V. All rights reserved.en_US
dc.identifier.doi10.1016/j.braindev.2007.05.009
dc.identifier.endpage46en_US
dc.identifier.issn0387-7604
dc.identifier.issue1en_US
dc.identifier.pmid17574362en_US
dc.identifier.scopus2-s2.0-37349064847en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage43en_US
dc.identifier.urihttps://doi.org/10.1016/j.braindev.2007.05.009
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22674
dc.identifier.volume30en_US
dc.identifier.wosWOS:000252510500006en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Science Bven_US
dc.relation.ispartofBrain & Developmenten_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNeonatal Resuscitation Program Courseen_US
dc.subjectPerinatal Asphyxiaen_US
dc.subjectHypoxic Ischemic Encephalopathyen_US
dc.subjectApgar Scoresen_US
dc.titleThe impact of Neonatal Resuscitation Program courses on mortality and morbidity of newborn infants with perinatal asphyxiaen_US
dc.typeArticleen_US

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