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Turkish Journal of Medical Sciences

Abstract

Background/aim: The aim was to compare the pre- and posttransport levels of systemic inflammatory markers in neonatal infants transported to a tertiary intensive care unit via emergency health services with a neonatal respiratory distress syndrome (nRDS) diagnosis and to assess the quality of transport.

Materials and methods: This retrospective study was conducted between January 2019 and December 2023. A total of 117 nRDS patients’ emergency transports were included in the study. Demographic data, transfer time, intubation, cold treatment, cardiopulmonary resuscitation (CPR), and pre- and posttransport laboratory parameters were obtained retrospectively. The statistical analysis was performed using IBM SPSS Statistics (Version 22.0), with a significance level of p < 0.05.

Results: The mean gestational age at birth was 35.46 ± 4.189 weeks. Among the neonates transported, 41.9% (n = 49) were intubated and 41.9% (n = 49) required mechanical ventilation during transport. CPR was performed in 12.8% (n = 15) of cases, with 4.3% (n = 5) requiring prolonged CPR. The mortality rate was 11.1% (n = 13). The mean neutrophil-to-lymphocyte ratio (NLR) was 3.0 ± 3.40, the platelet-to-lymphocyte ratio (PLR) was 101.2 ± 103.9, the systemic inflammatory index (SII) (×103) was 1.91 ± 2.43, and the haemoglobin, albumin, lymphocyte, platelet (HALP) score was 10.42 ± 21.36. No statistically significant differences were observed between the pre- and posttransfer values of the NLR, PLR, HALP index, or SII (overall p > 0.05).

Conclusion: No significant differences were detected between pre- and posttransport inflammatory marker levels. These findings suggest that the transport process may not be associated with a measurable inflammatory response, possibly reflecting the effectiveness of appropriate treatment and stabilisation during transport.

Author ORCID Identifier

EYÜP SARI: 0000-0003-3020-5632

ŞERİFE SUNA OĞUZ: 0000-0002-1870-0983

MEHMET SEMİH DEMİRTAŞ: 0000-0003-2965-1811

BENSU BULUT: 0000-0002-5629-3143

MEDİNE AKKAN ÖZ: 0000-0002-6320-9667

MURAT GENÇ: 0000-0003-3407-1942

AYŞENUR GÜR: 0000-0002-9521-1120

ÜMİT ALPER ÖZCAN: 0009-0007-3040-753X

HÜSEYİN MUTLU: 0000-0002-1930-3293

RAMİZ YAZICI: 0000-0001-9210-914X

DOI

10.55730/1300-0144.6354

Keywords

Infant transport, neonatal respiratory distress syndrome, systemic inflammatory markers

First Page

1105

Last Page

1112

Publisher

The Scientific and Technological Research Council of Türkiye (TÜBİTAK)

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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