Clinical characteristics and outcomes at discharge of neonates with mild asphyxia treated at the University Hospital of Bogotá 2015-2022
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Abstract
Introduction: The management of neonatal hypoxic-ischemic encephalopathy with the use of therapeutic hypothermia has managed to reduce mortality and neurological sequelae in newborns with moderate or severe perinatal asphyxia. However, not all cases have an indication for the prescription of therapy with current criteria: mild asphyxia is one of these. The objective of the present investigation was to describe the characteristics and early clinical outcomes of the discharge of neonates with mild asphyxia treated in the HUSI newborn unit during the study period. Methods: observational, descriptive study of a historical cohort. Population: Neonates with mild asphyxia treated at the San Ignacio Hospital in the city of Bogotá, during the study period. Measurement: Data from the medical history corresponding to clinical sociodemographic variables and clinical outcomes were recorded at discharge. Results: A total of 59 newborns with criteria for mild neonatal asphyxia treated at San Ignacio University Hospital during the study period were included. Regarding early clinical findings, we found that 64.4% of newborns required oxygen support. One patient had a seizure, 25 patients had pulmonary hypertension by echocardiogram, intraparenchymal cerebral hemorrhage in 2 cases, and feeding disorders in 5 newborns. Conclusion: Patients with mild perinatal asphyxia had significant complications in the neonatal period, which put them patients at high neurological risk.
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