The diagnostic value of pulmonary near-infrared spectroscopy in the early distinction of neonatal pneumonia from transient tachypnea of the newborn

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dc.authoridALAN, Serdar/0000-0003-3432-7901
dc.authoridAliefendioglu, Didem/0000-0001-6314-3461
dc.contributor.authorOzdemir, Ferzane Ebrar
dc.contributor.authorAlan, Serdar
dc.contributor.authorAliefendioglu, Didem
dc.date.accessioned2025-01-21T16:44:59Z
dc.date.available2025-01-21T16:44:59Z
dc.date.issued2023
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAim: Pulmonary near-infrared spectroscopy (NIRS) is a new and promising tool for diagnosis of neonatal respiratory diseases (RD). The study aimed to determine the role of pulmonary regional oxygen saturation (pRSO(2)) values obtained by NIRS in the early distinction of neonatal pneumonia (NP) from transient tachypnea of the newborn (TTN). Methods: This prospective, observational, double-blind study was conducted in neonatal intensive care unit (NICU) between 2020 and 2021. Late preterm and term newborns hospitalized in the NICU due to the diagnosis of TTN and NP were included. Cerebral RSO2 and pRSO(2) values were measured during the 1st, 24th, 48th, and 72nd hours of hospitalization, using NIRS. Results: Of the eligible 40 infants, 65% (n: 26) were diagnosed as TTN and 35% (n: 16) as NP. The pRSO(2) values were significantly higher in theTTN group than the NP group for both apexes (75.3 +/- 8.7 vs. 69 +/- 5.4, p:.018, respectively) and lateral lung (77.8 +/- 6 vs. 72.7 +/- 6.2, p:.016, respectively) in the 1st hour of hospitalization. There were significant differences in pRSO(2)apex and pRSO(2)lateral values between the 1st and 24th hours of hospitalization and the 24th and 48th hours in the NP group (p(2):.001 for both). The optimal pRSO(2)apex cut-off value was >72% to predict the diagnosis of NP with a sensitivity of 78.6% and a specificity of 69.2%. Conclusion: Pulmonary NIRS may be considered as a feasible and promising diagnostic tool in late preterm and term infants with RD. It may also be helpful for the early differentiation of NP from TTN and the courses of these diseases.
dc.description.sponsorshipThe author(s) reported there is no funding associated with the work featured in this article.
dc.description.sponsorshipThe author(s) reported there is no funding associated with the work featured in this article.
dc.identifier.doi10.1002/ppul.26656
dc.identifier.endpage3278
dc.identifier.issn8755-6863
dc.identifier.issn1099-0496
dc.identifier.issue11
dc.identifier.pmid37646118
dc.identifier.scopus2-s2.0-85169010575
dc.identifier.scopusqualityQ1
dc.identifier.startpage3271
dc.identifier.urihttps://doi.org/10.1002/ppul.26656
dc.identifier.urihttps://hdl.handle.net/20.500.12587/25565
dc.identifier.volume58
dc.identifier.wosWOS:001063917700001
dc.identifier.wosqualityQ1
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherWiley
dc.relation.ispartofPediatric Pulmonology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectnear-infrared spectroscopy; neonatal pneumonia; regional tissue oxygen saturation; respiratory distress; transient tachypnea of newborn
dc.titleThe diagnostic value of pulmonary near-infrared spectroscopy in the early distinction of neonatal pneumonia from transient tachypnea of the newborn
dc.typeArticle

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