Nosological Structure of Critical States In Newborn of Megapolis

In the article the analysis of nosology structures of critical conditions is presented at newborn hospitalized in the separation of reanimation and intensive therapy of Center of Perinatal Care and child's cardiac surgery Almaty. Research was conducted according to the final stage of gestation, to body, nosology weight, class of weight and reasons of fatal outcome.

Research aim: to study the features of nosology structure, frequencies of critical conditions and reasons of fatal outcomes at new-born, born in a megalopolis, for the exposure of modern tendencies of providing of reanimation help.

Methods and research material: 567 newborns, that were on treatment in the separation of neonatal reanimation and intensive therapy of municipal center of Perinatal Care and child's cardiac surgery of Almaty from January for December 2022. By a retrospective analysis the medical maps of reanimation are studied.

1. Aleksandrovich, Yu. S. and Pshenisnov, K. V. (2013). Intensivnaya terapiya novorozhdennyh: uchebnik. Saint Petersburg, 672 p. (In Russian).

2. Aleksandrovich, Yu. S., Pshenisnov, K. V. and Gordeev, V. I. (2014). Intensivnaya terapiya kriticheskih sostoyanij u detej: uchebnik. Saint Petersburg, 976 p. (In Russian).

3. Zav'yalov, O. V., Ignatko, I. V., Il'enko, L. I., et al. (2023). Shkala Sil'vermana-Andersen v ocenke sindroma dyhatel'nogo rasstrojstva nedonoshennyh novorozhdennyh: klinicheskoe i prognosticheskoe znachenie. Obstetrics, Gynecology and Reproduction, 17(3), 357-365, DOI: https://doi.org/10.17749/2313-7347/ob.gyn.rep.2023.403. (In Russian).

4. Golomidov, A. V., Grigor'ev, E. V., Mozes, V. G. et. al. (2022). Persistiruyushchee kriticheskoe sostoyanie u novorozhdennyh. Messenger of anesthesiology and resuscitation, 19(2), 74-83, DOI: http://doi.org/10.21292/2078-5658-2022-19-2-74-83. (In Russian).

5. Volodin, N. N. (2019). Neonatologiya: Nacional'noe rukovodstvo: kratkoe izdanie. GEOTAR – Media, Moscow, 896 p. (In Russian).

6. Volodin, N. N., Degtyarev, D. N. and Kryuchko, D. S. (2019). Klinicheskie rekomendacii. Neonatologiya. GEOTAR – Media, Moscow, 320 p. (In Russian).

7. Lissauer, T., Fanaroff, A. A. and Majall, L. (2019). Naglyadnaya neonatologiya. GEOTAR – Media, Moscow, 304 p. (In Russian).

8. Polin A. R. and Alan, R. (2020). Spitcer. Sekrety neonatologii i perinatologii. BINOM, Moscow, 624 p. (In Russian).

9. Vasil'kov, V. G. and Safronov, A. I. (2016). Sindromologiya kriticheskih sostoyanij v klinicheskoj deyatel'nosti prakticheskogo vracha. Medical alphabet, 2(15), 46-49. (In Russian).

10. Safronov, A. I. and Vasil'kov, V. G. (2018). K metodologicheskim problemam mediciny kriticheskih sostoyanij. Medical alphabet, 2(18), 5557. (In Russian).

11. Minochkin, P. I. (2017). Personifikacya intensivnoj terapii poliorgannoj nedostatochnosti u novorozhdennyh. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care, 7(3), 75-80. (In Russian).

12. Coakes, J., Gain, C. and Craig, G. (2011). Critical Care for children in DGH; a review of the caseload and outcomes. Journal of Intensive Care, 12(4), 313-315.

13. Bratton, S. L., Odetola, F. O., McCollegan, J., Cabana, M. D., Levy, F. H. and Keenan, H. T. (2005). Regional – variation in ICU care for pediatric patients with asthma. The Journal of Pediatrics, 147(3), 355-361.

14. Tarnow-Mordi, W., Stenson, B., Kirby, A. et. al. (2016). Outcomes of Oxygen-Saturation Targets in Preterm Infants. The New England Journal of Medicine, 374(8), 749-760, DOI: 10.1056/NEJMoa1514212.

15. Scoring systems for ICU and surgical patients: NTISS (Neonatal Therapeutic Intervention Scoring System). SFAR [Website]. Retrieved August 5, 2023, from http://www.sfar.org/scores2/ntiss2.html.

16. Minochkin, P. I., Volosnikov, D. K. et. al. (2013). Diagnostika i prognoz poliorgannoj nedostatochnosti i letal'nogo iskhoda u novorozhdennyh detej. The question of diagnostics in pediatrics, 5(4), 8590. (In Russian).

17. Bajbarina, E. N., Degtyarev, D. N. and Kryuchko, D. S. (2014). Shok i arterial'naya gipotoniyaю Volodin, N. N. Neonatologiya: nacional'noe rukovodstvo. GEOTAR – Media, Moscow, 247-252. (In Russian).

18. He, S. R., Sun, X., Zhang, C. et al. (2013). Measurement of systemic oxygen delivery and inotropy in healthy term neonates with the Ultrasonic Cardiac Output Monitor. Early Human Development, 89(5), 61-67.

19. Amborosino, N. and Gabbrielli, L. (2010). The difficult-to-wean patient. Expert Review of Respiratory Medicine, 4(5), 685-692.

20. Einspieler, C. and Prechtl, H. F. (2008). Prechtl's assessment of general movements: a diagnostic tool for the functional assessment of the young nervous system. Mental retardation and developmental disabilities research reviews, 11(1), 61-67.