Dealyed referral of congenital anomalies.
Objective: Standardized international guidelines recommend a routine physical examination of all newborns before discharge, at least within the first 48 hours of life. The aim of this study was to determine the extent of delayed diagnosis in newborns with early detectable congenital anomalies. Mater...
| Published in: | Turkiye Klinikleri Journal of Medical Sciences Vol. 32; no. 3; pp. 745 - 750 |
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| Main Authors: | , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Turkiye Klinikleri
Jun2012
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104446209&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104446209 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 13000292 1VOP jtl: Turkiye Klinikleri Journal of Medical Sciences issn: 13000292 maglogo: N pubinfo: dt: Jun2012 vid: 32 iid: 3 pid: 67298 pub: Turkiye Klinikleri artinfo: ui: 104446209 104446209 2011551588 10.5336/medsci.2011-26349 104446209 ppf: 745 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Dealyed referral of congenital anomalies. aug: au: Çavusoglu, Y Hakan Karaman, Ayse Karaman, Ibrahim Erdogan, Derya Özgüner, Ismet Faruk sug: subj: Abnormalities Referral and Consultation Treatment Delay Chi Square Test Data Analysis Software Female Fisher's Exact Test Human Infant, Newborn Kruskal-Wallis Test Male Mann-Whitney U Test Neonatal Assessment Prospective Studies Record Review Retrospective Design Turkiye Infant, Newborn: birth-1 month Female Male ab: Objective: Standardized international guidelines recommend a routine physical examination of all newborns before discharge, at least within the first 48 hours of life. The aim of this study was to determine the extent of delayed diagnosis in newborns with early detectable congenital anomalies. Material and Methods: Neonates admitted to our pediatric surgery clinic with a diagnosis of congenital anomalies between 2005 and 2010 were retrospectively reviewed. The cohort consisted of patients with imperforate anus, esophageal atresia and congenital abdominal wall defect. A diagnosis made 48 hours or later after birth was considered late diagnosis. Results: A total of 236 newborn patients, requiring surgery for congenital anomalies, were admitted to the clinic during this period. A total of 119 patients had anomalies that would be expected to be diagnosed at an early stage. The diagnosis was delayed in 20.2%. In 8 cases, although the diagnosis was early, the baby was taken home by the family. In total, the diagnosis was not made appropriately and on time in 26.9%. The time of diagnosis was 3-15 days in those with a delayed diagnosis (median 4.5 days). Eleven patients with prenatal diagnosis were diagnosed on time. The inpatient duration and survival rates were not different. Conclusion: Despite the early diagnosis in patients with a prenatal diagnosis, babies who needed a multidisciplinary approach were born in hospitals without newborn or pediatric surgery departments. Diagnostic delays can be reduced by starting an awareness program among health workers for neonatal surgical problems. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: Turkish refInfo: holdings: @attributes: islocal: N |
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