Daneshvar Medicine

Daneshvar Medicine

The frequency of echocardiographic abnormalities in neonates with respiratory distress admitted to the intensive care unit

Document Type : Applicable

Authors
Maryam Mahdavifar 1
Fatemeh Haji ebrahim Tehrani 2
Ali Davati 3
1 Faculty of Dentistry, Shahed University, Tehran, Iran
2 Department of Pediatrics , Faculty of Medicine, Shahed University, Tehran, Iran
3 Department of Social Medicine, Shahed University, Tehran, Iran
10.22070/daneshmed.2023.16990.1293
Abstract
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.
Keywords
Respiratory distress
Neonatal intensive care unit
Congenital heart disease
Echocardiography
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Daneshvar Medicine
Volume 30, Issue 6 - Serial Number 163
January and February 2023
Pages 78-86