Shahed University Daneshvar Medicine 2716-9723 30 6 2023 03 01 The frequency of echocardiographic abnormalities in neonates with respiratory distress admitted to the intensive care unit The frequency of echocardiographic abnormalities in neonates with respiratory distress admitted to the intensive care unit 78 86 3997 10.22070/daneshmed.2023.16990.1293 FA Maryam Mahdavifar Faculty of Dentistry, Shahed University, Tehran, Iran 0000-0002-7193-4949 Fatemeh Haji Ebrahim Tehrani Department of Pediatrics , Faculty of Medicine, Shahed University, Tehran, Iran 0000-0003-2795-7622 Ali Davati Department of Social Medicine, Shahed University, Tehran, Iran 0000-0000-0000-0000 Journal Article 2022 11 12 Background and Objective: : Respiratory distress is a syndrome that is caused by pulmonary, cardiac, infectious, blood, skeletal and metabolic diseases and may directly and indirectly involve the lungs. Due to the high prevalence of respiratory distress in neonates hospitalized in the neonatal intensive care unit and high mortality due to respiratory problems of neonates, with timely differentiation of cardiac from non-cardiac causes and supportive treatments, the mortality of this group can be reduced to some extent and the related prognosis can be improved. The present study was conducted with the aim of investigating the results of echocardiography in the evaluation of neonates with respiratory distress admitted to the neonatal intensive care unit. Materials and Methods: The present study was a retrospective study based on the medical information of 396 neonates with respiratory distress who were hospitalized in the intensive care unit and diagnosed with heart disease by echocardiography. The required information was extracted from the neonate files. And with the help of SPSS 20 software and univariate and multivariate binomial regression model, they were judged statistically. Results: The most common cause of respiratory distress was RDS 42.2% and TTN 37.9% and the most common cardiac findings were 11.4% TR and 5.6% VSD. In all types of respiratory distress, the frequency of abnormal echocardiography increased. Conclusion: In order to diagnose cardiac and non-cardiac respiratory distress, echocardiography is essential, especially in neonates with chest retraction. Background and Objective: : Respiratory distress is a syndrome that is caused by pulmonary, cardiac, infectious, blood, skeletal and metabolic diseases and may directly and indirectly involve the lungs. Due to the high prevalence of respiratory distress in neonates hospitalized in the neonatal intensive care unit and high mortality due to respiratory problems of neonates, with timely differentiation of cardiac from non-cardiac causes and supportive treatments, the mortality of this group can be reduced to some extent and the related prognosis can be improved. The present study was conducted with the aim of investigating the results of echocardiography in the evaluation of neonates with respiratory distress admitted to the neonatal intensive care unit. Materials and Methods: The present study was a retrospective study based on the medical information of 396 neonates with respiratory distress who were hospitalized in the intensive care unit and diagnosed with heart disease by echocardiography. The required information was extracted from the neonate files. And with the help of SPSS 20 software and univariate and multivariate binomial regression model, they were judged statistically. Results: The most common cause of respiratory distress was RDS 42.2% and TTN 37.9% and the most common cardiac findings were 11.4% TR and 5.6% VSD. In all types of respiratory distress, the frequency of abnormal echocardiography increased. Conclusion: In order to diagnose cardiac and non-cardiac respiratory distress, echocardiography is essential, especially in neonates with chest retraction.

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