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    Causes of death in a neonatal intensive care unit in Southeast region of Turkey
    (2019) Bozkurt, Ozlem
    Aim: Neonatal mortality rate is a good indicator to show the developmental status of a country. The aim was to assess mortality rate and causes of death in a tertiary level neonatal intensive care unit (NICU) at Sanliurfa Training and Research Hospital. Material and Methods: All infant deaths occurred in one year period between 2017 and 2018 at Sanliurfa Training and Research Hospital NICU were retrospectively reviewed and causes of death and mortality rate were examined. A total of 189 (9.4%) infants died in the study period. Most common cause of death was prematurity and associated conditions (49.2%) followed by perinatal asphyxia (16.4%) and congenital anomalies (12.7%). In term infants perinatal asphyxia (36.9%), congenital anomalies (16.9%) and acute bilirubin encephalopathy (12.3%) were the three leading causes of death. The median age of death was 3 (1-240) days. Most of the deaths (73%) occurred in the early neonatal period. Conclusion: Prematurity, perinatal asphyxia, congenital anomalies and severe hyperbilirubinemia are the leading causes of neonatal mortality in Sanliurfa. Measures for antenatal follow-up, diagnosis of antenatal risk factors, early neonatal follow-up and certification of health staff in delivery room would contribute for reduction of neonatal mortality in southeast region of Turkey
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    Short-term outcomes of very preterm infants in a tertiary level neonatal intensive care unit in southeast region of Turkey
    (2021) Bozkurt, Ozlem; Yucesoy Bagdiken, Ebru
    Aim: To examine the mortality and short-term outcomes of very preterm infants (≤32 weeks’ gestation) at Sanliurfa Training and Research Hospital. Materials and Methods: Very preterm infants hospitalized between September 2017 and February 2019 were retrospectively included in the study. Selected short-term outcomes were bronchopulmonary dysplasia, severe intraventricular hemorrhage, sepsis, periventricular leukomalacia, severe retinopathy of prematurity and necrotizing enterocolitis. Results: Within 18 months period 486 live born very preterm infants were included in the study. The mean birth weight was 1306 ± 459 g and gestational age was 29.1 ± 2.8 weeks. The antenatal steroid administration rate was 30.9%. The mortality rate was 30.5%. In the whole group survival rate without a major neonatal morbidity was 44.2%. The incidence of respiratory distress syndrome was 73.9%, patent ductus arteriosus was 20.4%, intraventricular hemorrhage grade III-IV was 7.6%, bronchopulmonary dysplasia was %16.9, periventricular leukomalacia was 7.6%, late onset sepsis was 42.6%, and culture proven sepsis was 14%, severe retinopathy of prematurity was 5.6%, and necrotizing enterocolitis was 2.1%. Conclusion: The mortality rate is higher than that of Turkey, while short-term morbidity rates are similar to the average in Turkey. The priority for Sanliurfa is to reduce the mortality rate in very preterm infants