Postnatal hydrocortisone therapy for the treatment of bronchopulmonary dysplasia in very low birth weight infants

dc.contributor.authorBuyuktiryaki, Mehmet
dc.contributor.authorAlyamac Dizdar, Evrim
dc.contributor.authorOkur, Nilufer
dc.contributor.authorSari, Fatmanur
dc.contributor.authorBezirganoglu, Handan
dc.contributor.authorCanpolat, Fuat Emre
dc.contributor.authorUras, Nurdan
dc.contributor.authorOguz, Serife Suna
dc.date.accessioned2022-03-08T09:34:59Z
dc.date.available2022-03-08T09:34:59Z
dc.date.issued2019
dc.departmentİnönü Üniversitesien_US
dc.description.abstractAim: Corticosteroids are widely used to prevent and treat bronchopulmonary dysplasia (BPD) due to their strong anti-inflammatory effects. We aim to evaluate the outcomes of late onset systemic hydrocortisone (HC) therapy in very low birth weight infants with BPD.Material and Methods: The medical records of 706 preterm infants with gestational age ≤ 30 weeks over a 4-year period were retrospectively reviewed. Infants who required invasive/noninvasive respiratory support or ≥ 30% oxygen due to BPD and were treated with HC after the third postnatal week were included. The infants were divided into 3 groups according to respiratory support at the beginning of the HC treatment: mechanical ventilation (MV), noninvasive ventilation (NIV), and free oxygen.Results: Seventy-six (11.9%) infants in our cohort received HC therapy. In the MV group, 83.3% of the infants were successfully extubated after a median of 4 days (interquartile range [IQR], 2-8 days). In the NIV group, 83.9% of the infants required no longer respiratory support after a median of 6 days (IQR, 3-16 days). In the free oxygen group, none of the infants needed supplemental oxygen after a median of 8 days (IQR, 6-12 days). Conclusion: Late HC therapy facilitates extubating without adverse short-term effects, reduces the need of invasive and noninvasive ventilation, and facilitates discharge without supplemental oxygen.en_US
dc.identifier.citationBuyuktiryaki, M., Alyamac Dizdar, E., Okur, N., Bezirganoglu, H., Sari, F., Uras, N., Emre Canpolat, F., & Suna Oguz, S. (2021). Postnatal hydrocortisone therapy for the treatment of bronchopulmonary dysplasia in very low birth weight infants . Annals of Medical Researchen_US
dc.identifier.urihttps://hdl.handle.net/11616/54729
dc.language.isoenen_US
dc.relation.ispartofAnnals of Medical Researchen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titlePostnatal hydrocortisone therapy for the treatment of bronchopulmonary dysplasia in very low birth weight infantsen_US
dc.typeArticleen_US

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