Author Of 2 Presentations
WHAT ARE THE NON-CARDIAC PROGNOSTIC FACTORS AFFECTING MORTALITY IN NEONATES WITH AORTOPULMONARY SHUNT
Abstract
Background
Systemic to pulmonary shunts (SPS) have proven to be highly effective for the palliation of neonates with cyanotic congenital heart disease. Mortality after SPS surgery in neonates has multifactorial basis
Objectives
We aimed to investigate the clinical results of the SPS in relation to the underlying cardiac disease and to identify the risk factors contributing to an adverse outcome
Methods
All neonates who underwent first shunt insertion for cyanotic congenital heart disease during the study period from 1 January 2014 to 31 December 2017 were included. A retrospective review of patient records was done. Patients were grouped into 2 different categories: survived with or without any reintervention and death before or after any reintervention till discharge
Results
During the study period, 47 patients underwent SPS shunt placement. Preoperative epinephrine requirement and mechanical ventilation and postoperative erythrocyte transfusion need were statistically significant
Conclusion
Although primary cardiac pathology is the most important prognostic factor, some other preoperative and postoperative factors might also affect the prognosis. As there are very few centers in the region that specialize in pediatric cardiac surgery, a multi-center approach will be helpful in reaching reliable conclusion
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SLEEP DISORDER OF HOSPITALIZED NEONATES DURING PRESCHOOL AGE
Abstract
Background
Children requiring intensive care in the neonatal period have more fine motor injuries, learning difficulties, eating disorders and sleeping problems. Sleep disorder rate is about 10-30% in children who had no problem in newborn period.
Objectives
We aimed to investigate the rate of sleep disorder in children who were admitted to NICU during newborn period.
Methods
46 patients hospitalized in NICU and still followed in outpatient policlinic at Çukurova University were enrolled in to the study. Children's Sleep Habits Questionnaire was performed to evaluate sleep resistance, delay in fall into sleep, duration of sleep, sleep anxiety, parasomnia, midnight awakening and daily sleepiness
Results
Children were 6.64±1.18 (5-9) years old. They were healthy and had no neurological squeal. None of the parents complained about sleep disorders. However, 20 of the 46 (43.47%) children had sleep disorder (Sleep disorder group). 26 children had no sleep disorder (No Sleep Disorder group). There were no statistically difference between groups in terms of gestational age, birth weight, ventilator support, gender (p>0.05)
Conclusion
Although there are no significant difference between groups, sleep disorder rate is higher compared to normal population’s rates reported in the previous studies. Infants discharged from NICU should be under evaluation also for sleep disorder