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Analysis of risk factors that determine the severity of transient tachypnea of the newborn and allow predicting treatment tactics
https://doi.org/10.21508/1027-4065-2022-67-2-71-75
Abstract
Transient tachypnea of the newborn is a parenchymal lung disease characterized by respiratory distress in the first hours after birth. The consequences of underestimating the severity of the disease, incorrectly chosen respiratory support technique or its untimely use at the stage of the delivery room are the increase in respiratory failure, transfer to the intensive care unit, and the need for more invasive and expensive methods of treatment. In the study, we set the task to determine the risk factors that allow us to predict the severity of the course of transient tachypnea of the newborn at the stage of the delivery room.
Purpose. Analysis of risk factors that determine the severity of transient tachypnea in the newborn and predicting the tactics of their treatment.
Methods. Retrospective analysis of full-term newborns (n = 201) diagnosed with transient tachypnea of the newborn in 2020, who received any type of respiratory support in the first hours of life.
Results. Most patients with transient tachypnea of the newborn required respiratory support at the stage of the delivery room, which we associate with a combination of risk factors in the history of pregnancy and childbirth. A high incidence of cerebral pathology in the studied newborns was revealed. According to our data, the following factors can be considered as predictors of the severity of the condition and hospitalization in the intensive care unit from the delivery room of patients with transient tachypnea of the newborn: delivery by Casarean section, low Apgar score at 1 and 5 minutes, Downs scale score of 4–5 points, and the need for respiratory support during the delivery room stage.
Conclusions. The results of the study proved a high frequency of transient tachypnea of the newborn registered in full-term infants, allowed to identify risk factors for a severe course of transient tachypnea of the newborn and hospitalization in the intensive care unit.
About the Authors
O. P. Kovtun
Ural State Medical University
Russian Federation
Russian Federation
Yekaterinburg
E. V. Shestak
Ural State Medical University; Yekaterinburg Clinical Perinatal Center
Russian Federation
Russian Federation
Yekaterinburg
O. L. Ksenofontova
Yekaterinburg Clinical Perinatal Center
Russian Federation
Russian Federation
Yekaterinburg
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Review
For citations:
Kovtun O.P., Shestak E.V., Ksenofontova O.L. Analysis of risk factors that determine the severity of transient tachypnea of the newborn and allow predicting treatment tactics. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2022;67(2):71-75. (In Russ.) https://doi.org/10.21508/1027-4065-2022-67-2-71-75
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