Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton

Massive pulmonary hemorrhage (MPH) in neonates is a severe condition followed by many complications and associated with a high mortality rate. The aim of this study was to present the incidence, possible risk factors, and short-term outcome of neonatal MPH in Tuzla Canton. We retrospectively anal...

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Main Authors: Devleta Hadžić, Evlijana Zulić, Sabina Salkanović-Delibegović, Dženana Softić, Dženita Kovačević, Delila Softić
Format: Article
Language:English
Published: Sestre Milosrdnice University hospital, Institute of Clinical Medical Research 2021-01-01
Series:Acta Clinica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/378001
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author Devleta Hadžić
Evlijana Zulić
Sabina Salkanović-Delibegović
Dženana Softić
Dženita Kovačević
Delila Softić
author_facet Devleta Hadžić
Evlijana Zulić
Sabina Salkanović-Delibegović
Dženana Softić
Dženita Kovačević
Delila Softić
author_sort Devleta Hadžić
collection DOAJ
description Massive pulmonary hemorrhage (MPH) in neonates is a severe condition followed by many complications and associated with a high mortality rate. The aim of this study was to present the incidence, possible risk factors, and short-term outcome of neonatal MPH in Tuzla Canton. We retrospectively analyzed data on neonates with MPH from January 2015 to December 2017. On statistical analysis, standard methods of descriptive statistics were used. During the three-year study period, 16 neonates developed MPH, 5 (31.25%) male and 11 (68.75%) female. Their mean gestational age was 29.48±2.21 weeks and mean birth weight 1276.69±387.65 grams. Seven (43.75%) neonates survived and 9 (56.25%) died. Significant differences between the two outcome groups (survivors/ died) were found in gestational age, birth weight, birth length, 5-minute Apgar score, and length of treatment at the Neonatal Intensive Care Unit. In Tuzla Canton, MPH occurred mainly in preterm neonates requiring mechanical ventilation, with the incidence of 1.91% of total premature births. The short-term outcome was uncertain, with a high mortality rate of 56.25%. Lower gestational age, lower birth weight, lower birth length and lower 5-minute Apgar score were confirmed as risk factors for poor short-term outcome.
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spelling doaj.art-490f6226a92a4901a07009b6ed50a46d2024-04-15T17:03:12ZengSestre Milosrdnice University hospital, Institute of Clinical Medical ResearchActa Clinica Croatica0353-94661333-94512021-01-0160.1.828810.20471/acc.2021.60.01.12Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla CantonDevleta Hadžić0Evlijana Zulić1Sabina Salkanović-Delibegović2Dženana Softić3Dženita Kovačević4Delila Softić5Department of Pediatrics, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Pediatrics, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Pediatrics, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Pediatrics, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Pediatrics, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaDepartment of Pediatrics, Tuzla University Clinical Centre, Tuzla, Bosnia and HerzegovinaMassive pulmonary hemorrhage (MPH) in neonates is a severe condition followed by many complications and associated with a high mortality rate. The aim of this study was to present the incidence, possible risk factors, and short-term outcome of neonatal MPH in Tuzla Canton. We retrospectively analyzed data on neonates with MPH from January 2015 to December 2017. On statistical analysis, standard methods of descriptive statistics were used. During the three-year study period, 16 neonates developed MPH, 5 (31.25%) male and 11 (68.75%) female. Their mean gestational age was 29.48±2.21 weeks and mean birth weight 1276.69±387.65 grams. Seven (43.75%) neonates survived and 9 (56.25%) died. Significant differences between the two outcome groups (survivors/ died) were found in gestational age, birth weight, birth length, 5-minute Apgar score, and length of treatment at the Neonatal Intensive Care Unit. In Tuzla Canton, MPH occurred mainly in preterm neonates requiring mechanical ventilation, with the incidence of 1.91% of total premature births. The short-term outcome was uncertain, with a high mortality rate of 56.25%. Lower gestational age, lower birth weight, lower birth length and lower 5-minute Apgar score were confirmed as risk factors for poor short-term outcome.https://hrcak.srce.hr/file/378001Massive pulmonary hemorrhageNeonates, prematurityShort-term outcomeRisk factors
spellingShingle Devleta Hadžić
Evlijana Zulić
Sabina Salkanović-Delibegović
Dženana Softić
Dženita Kovačević
Delila Softić
Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton
Acta Clinica Croatica
Massive pulmonary hemorrhage
Neonates, prematurity
Short-term outcome
Risk factors
title Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton
title_full Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton
title_fullStr Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton
title_full_unstemmed Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton
title_short Short-Term Outcome of Massive Pulmonary Hemorrhage in Preterm Infants in Tuzla Canton
title_sort short term outcome of massive pulmonary hemorrhage in preterm infants in tuzla canton
topic Massive pulmonary hemorrhage
Neonates, prematurity
Short-term outcome
Risk factors
url https://hrcak.srce.hr/file/378001
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