Klavikula kırığı saptanan yenidoğan hastalarda serum D vitamini düzeyleri

Year 2022, Volume: 47 Issue: 1, 266 - 274, 31.03.2022

Erhan Aygün , Sinan Tüfekci , Seda Yılmaz Semerci

https://doi.org/10.17826/cumj.1031453

Abstract

Amaç: Bu çalışmada yenidoğan döneminde klavikula kırığı üzerine D vitamininin olası rolünün belirlenmesi amaçlanmıştır.
Gereç ve Yöntem: Bu retrospektif kesitsel çalışma 2018-2020 yılları arasında yapılmıştır. Klavikula kırığı nedeniyle yenidoğan yoğun bakım ünitesinde izlenen bebekler çalışmaya alındı. Kontrol grubu kırığı olmayan ancak dışlama kriterleri dışındaki nedenlerle hastaneye başvuran bebeklerden oluşturuldu. Doğum ağırlığı, boyu, baş çevresi, cinsiyeti, gebelik haftası, doğum şekli, bebekte brakiyal pleksus felci gibi diğer klinik bulgular, anne yaşı, gebelik sayısı, tanı zamanı ve risk faktörleri kaydedildi. Yenidoğanlar serum 25-OH D vitamini düzeylerine göre D vitamini düzeyi normal (>30 ng/mL), D vitamini yetersiz (20-30 ng/mL) veya eksikliği olanlar (<20 ng/mL) olarak sınıflandırıldı. Gruplar D vitamini düzeyleri, demografik ve klinik özellikler açısından karşılaştırıldı.
Bulgular: Çalışmamıza 48 bebek dahil edildi. Gruplar demografik açıdan benzer bulundu. Klavikula kırığı için tanı yaşı doğum sonrası 1 ila 6 gündü. Serum kalsiyum düzeyleri vaka grubunda anlamlı olarak daha düşüktü. Fosfor ve alkalin fosfataz düzeyleri gruplar arasında farklılık göstermemesine rağmen, D vitamini düzeyleri vaka grubunda anlamlı derecede düşüktü.
Sonuç: Bu çalışma, klavikula kırığı olan yenidoğan bebeklerde D vitamini düzeylerinin düşük olduğunu göstermiştir. Klavikulanın dikkatli bir şekilde palpasyonu hastaneden taburcu olmadan önce kırığı yakalayabilir ve bu bebeklerde olası eksikliği zamanında saptamak için serum D vitamini düzeyine bakılmalıdır.

Keywords

Clavicle fracture, newborn, vitamin D

Serum vitamin D levels in newborn with clavicle fracture

Abstract

Purpose: The aim of this study was to determine the possible role of vitamin D on the clavicle fracture in the newborn.
Materials and Methods: This retrospective cross-sectional study was conducted between 2018-2020. Infants who were admitted to neonatal intensive care unit due to the clavicle fracture were included. Infants who did not have a fracture, but were admitted to the hospital for reasons instead of exclusion criteria were included as the control group. Birth weight, height, head circumference, gender, gestational week, delivery type, other clinical findings such as brachial plexus paralysis in the infant, maternal age, number of pregnancies, risk factors time to diagnosis were recorded. According to the serum 25-OH vitamin D levels, newborns were classified as having normal vitamin D status (>30 ng/mL), vitamin D insufficient (between 20-30 ng/mL), or deficiency (<20 ng/mL). Groups were compared for the vitamin D levels, the demographics and clinical characteristics.
Results: A total of 48 infants were included. The groups did not differ in terms of demographics. Age of diagnosis ranged from postnatal 1 to 6 days of life. Serum calcium levels were significantly lower in the case group. Although phosphorus and alkaline phosphatase levels did not differ between groups, vitamin D levels were significantly lower in the case group.
Conclusion: This study shows that newborns with clavicle fracture had lower vitamin D levels. Cautious palpation of the clavicle can catch the fracture before the hospital discharge even there is no evident symptom and serum vitamin D level of those infants should be checked in order to detect the possible deficiency timely.

Keywords

Clavicle fracture, newborn, vitamin D

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