Unexpected episodes of cyanosis in late preterm and term neonates prompted admission to a neonatal care unit

Abstract

BackgroundWe studied late preterm and term infants who were admitted to our neonatal care unit in a tertiary hospital for unexpected episodes of cyanosis that occurred during rooming-in for evaluation of their frequency, most frequent associated diseases, and documentation of the diagnostic clinical approach.MethodsWe carried out a retrospective study of infants with a gestational age ≥35 weeks who were admitted from the nursery with the diagnosis of cyanosis from January 2009 to December 2016. Exclusion criteria were the occurrence of acrocyanosis and the diagnosis of sudden unexpected postnatal collapse (SUPC).ResultsWe studied 49 infants with a mean gestational age of 38 ± 2 weeks. The frequency of admission for cyanosis was 1.8/1000 live births and was similar (p = 0.167) in late preterm and term infants. The majority of episodes occurred during the first 24 h of life (57%). Only 16 infants (33%) were discharged with a diagnosis, that was mostly (n = 5;10%) gastro-esophageal reflux.ConclusionsUnexpected episodes of cyanosis caused admission of 1.8/1000 live births to the neonatal care unit without differences between late preterm and term infants. These episodes occurred mainly during the first day of life and infants were mostly discharged without a known diagnosis.

Comparação da qualidade de vida relacionada à saúde entre crianças nascidas prematuras e a termo

“…Uma hipótese para essa diferença ter se apresentado se deve à presença de refluxo gastroesofágico (RGE) no período neonatal, condição muito comum em RNPT ( VAN DER PAL et al, 2008). Dani et al (2017) analisaram as admissões em unidade de cuidados neonatais por ocorrência de cianose em RNPT limítrofes e nascidos a termo e constataram que o diagnóstico mais comum foi RGE com uma população de 65% do sexo feminino.…”