{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T17:19:18Z","timestamp":1782926358190,"version":"3.54.5"},"reference-count":25,"publisher":"Akademiai Kiado Zrt.","issue":"42","license":[{"start":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T00:00:00Z","timestamp":1729382400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["akjournals.com"],"crossmark-restriction":true},"short-container-title":["OH"],"published-print":{"date-parts":[[2024,10,20]]},"abstract":"<jats:p><jats:italic>Bevezet\u00e9s:<\/jats:italic> Az extr\u00e9m kis s\u00faly\u00fa (1000 gramm alatti sz\u00fclet\u00e9si\n                    s\u00faly\u00fa) korasz\u00fcl\u00f6ttek vil\u00e1graj\u00f6vetele sok esetben nem sz\u00e1m\u00edthat\u00f3 ki, \u00edgy\n                    anyai\/magzati vesz\u00e9ly\u00e1llapotok eset\u00e9n a m\u00e9hen bel\u00fcli sz\u00e1ll\u00edt\u00e1s a III.\n                    progresszivit\u00e1si szint\u0171 neonat\u00e1lis intenz\u00edv centrumokba (NIC-III) nem\n                    val\u00f3s\u00edthat\u00f3 meg. Ilyenkor az els\u0151 \u00e9letnapon neonat\u00e1lis transzportra ker\u00fcl sor.\n                    Haz\u00e1nkban kev\u00e9s adat \u00e1ll rendelkez\u00e9sre e korasz\u00fcl\u00f6ttek demogr\u00e1fiai \u00e9s kimeneteli\n                    mutat\u00f3ir\u00f3l, valamint a sz\u00e1ll\u00edt\u00e1st v\u00e9gz\u0151 neonat\u00e1lis ment\u0151szolg\u00e1latok ell\u00e1t\u00e1sban\n                    ny\u00fajtott szerep\u00e9r\u0151l. <jats:italic>C\u00e9lkit\u0171z\u00e9s:<\/jats:italic> A megsz\u00fclet\u00e9st k\u00f6vet\u0151 els\u0151\n                    \u00e9letnapon sz\u00e1ll\u00edtott k\u00f6z\u00e9p-magyarorsz\u00e1gi extr\u00e9m kis s\u00faly\u00fa korasz\u00fcl\u00f6ttek\n                    \u00e9leszt\u00e9si, kezdeti ell\u00e1t\u00e1si, sz\u00e1ll\u00edt\u00e1si \u00e9s r\u00f6vid t\u00e1v\u00fa kimeneteli adatainak\n                    elemz\u00e9se. A sz\u00fclet\u00e9s helysz\u00edn\u00e9n megkezdett definit\u00edv III. szint\u0171 neonatol\u00f3giai\n                    ell\u00e1t\u00e1s eredm\u00e9nyeinek bemutat\u00e1sa. <jats:italic>M\u00f3dszer:<\/jats:italic> Retrospekt\u00edv\n                    kohorszvizsg\u00e1latunkban a Peter Cerny Alap\u00edtv\u00e1nyi Ment\u0151szolg\u00e1lat \u00e1ltal 2017. 03.\n                    20. \u00e9s 2022. 08. 20. k\u00f6z\u00f6tt sz\u00fcletett, 24 \u00f3r\u00e1n bel\u00fcl NIC-III-ba sz\u00e1ll\u00edtott,\n                    extr\u00e9m kis s\u00faly\u00fa korasz\u00fcl\u00f6ttek adatait elemezt\u00fck. Kiz\u00e1rtuk azokat a betegeket,\n                    akiknek s\u00falyos velesz\u00fcletett fejl\u0151d\u00e9si rendelleness\u00e9geik voltak, akiket III.\n                    szint\u0171 NIC egys\u00e9gek k\u00f6z\u00f6tt helyeztek \u00e1t, illetve akiknek a sz\u00e1ll\u00edt\u00e1sa 10 percn\u00e9l\n                    r\u00f6videbb ideig tartott. <jats:italic>Eredm\u00e9nyek:<\/jats:italic> Vizsg\u00e1latunkba 55\n                    korasz\u00fcl\u00f6ttet vontunk be, geszt\u00e1ci\u00f3s koruk medi\u00e1n 25 (tartom\u00e1ny: 21\u201331) h\u00e9t,\n                    sz\u00fclet\u00e9si s\u00falyuk medi\u00e1n 750 (tartom\u00e1ny: 300\u2013990) gramm volt. 7 \u00fajsz\u00fcl\u00f6tt\n                    k\u00f3rh\u00e1zon k\u00edv\u00fcl sz\u00fcletett. A ment\u0151szolg\u00e1lat rohamegys\u00e9ge 18 esetben a sz\u00fclet\u00e9s\n                    pillanat\u00e1ban a helysz\u00ednen tart\u00f3zkodott, a t\u00f6bbi esetben az \u00fajsz\u00fcl\u00f6tt \u00e9letkora a\n                    ki\u00e9rkez\u00e9skor medi\u00e1n 52 perc volt. Az ell\u00e1t\u00f3csapat ki\u00e9rkez\u00e9sekor az \u00fajsz\u00fcl\u00f6ttek\n                    &gt;50%-a hypothermi\u00e1s volt. A transzport medi\u00e1n t\u00e1vols\u00e1ga 59 kilom\u00e9ter volt. A\n                    betegek testh\u0151m\u00e9rs\u00e9klete \u00e9s v\u00e9rg\u00e1z\u00e9rt\u00e9kei jelent\u0151sen javultak a sz\u00e1ll\u00edt\u00e1s sor\u00e1n.\n                    A NIC-III-r\u00f3l 30 csecsem\u0151 (55%) \u00e9lt t\u00fal hazaad\u00e1sig vagy alacsonyabb\n                    progresszivit\u00e1s\u00fa szint\u0171 oszt\u00e1lyra val\u00f3 \u00e1thelyez\u00e9s\u00e9ig, azonban a 24. geszt\u00e1ci\u00f3s\n                    h\u00e9t el\u0151tt sz\u00fcletett betegek k\u00f6z\u00f6tt nem volt t\u00fal\u00e9l\u0151. Az int\u00e9zm\u00e9nyen k\u00edv\u00fcl\n                    sz\u00fcletett csecsem\u0151k k\u00f6z\u00fcl 5 \u00e9lt t\u00fal. Az \u00f6sszes t\u00fal\u00e9l\u0151 k\u00f6z\u00f6tt s\u00falyos agyv\u00e9rz\u00e9s\n                    \u00f6sszesen 7 betegn\u00e9l fordult el\u0151. <jats:italic>Megbesz\u00e9l\u00e9s \u00e9s k\u00f6vetkeztet\u00e9s:<\/jats:italic>\n                    Az els\u0151 \u00e9letnapon sz\u00e1ll\u00edtott extr\u00e9m kis s\u00faly\u00fa korasz\u00fcl\u00f6ttek hal\u00e1loz\u00e1sa nagy. A\n                    helysz\u00ednen megkezdett, majd a transzport alatt folytatott definit\u00edv mozg\u00f3\n                    NIC-III-ell\u00e1t\u00e1s jelent\u0151sen hozz\u00e1j\u00e1rulhat a kezdeti ell\u00e1t\u00e1s sikeress\u00e9g\u00e9hez \u00e9s a\n                    sz\u00e1ll\u00edt\u00e1s biztons\u00e1gos kivitelez\u00e9s\u00e9hez. Orv Hetil. 2024; 165(42): 1643\u20131651.<\/jats:p>","DOI":"10.1556\/650.2024.33139","type":"journal-article","created":{"date-parts":[[2024,10,20]],"date-time":"2024-10-20T06:32:23Z","timestamp":1729405943000},"page":"1643-1651","update-policy":"https:\/\/doi.org\/10.1556\/policypage.crossmark.crossref.2","source":"Crossref","is-referenced-by-count":3,"title":["A neonat\u00e1lis transzportszolg\u00e1lat szerepe az extr\u00e9m kis s\u00faly\u00fa korasz\u00fcl\u00f6ttek korai ell\u00e1t\u00e1s\u00e1ban"],"prefix":"10.1556","volume":"165","author":[{"given":"Zsolt","family":"Somogyv\u00e1ri","sequence":"first","affiliation":[{"name":"Peter Cerny Alap\u00edtv\u00e1nyi Ment\u0151szolg\u00e1lat Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vera","family":"Balog","sequence":"additional","affiliation":[{"name":"Peter Cerny Alap\u00edtv\u00e1nyi Ment\u0151szolg\u00e1lat Budapest Magyarorsz\u00e1g"},{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, MTA Kiv\u00e1l\u00f3 Kutat\u00f3hely Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lajos","family":"Lantos","sequence":"additional","affiliation":[{"name":"Peter Cerny Alap\u00edtv\u00e1nyi Ment\u0151szolg\u00e1lat Budapest Magyarorsz\u00e1g"},{"name":"Maternity Sz\u00fcl\u00e9szeti \u00e9s N\u0151gy\u00f3gy\u00e1szati Mag\u00e1nklinika Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00c1gnes","family":"Jermendy","sequence":"additional","affiliation":[{"name":"Semmelweis Egyetem, \u00c1ltal\u00e1nos Orvostudom\u00e1nyi Kar, Gyermekgy\u00f3gy\u00e1szati Klinika, MTA Kiv\u00e1l\u00f3 Kutat\u00f3hely Budapest Magyarorsz\u00e1g"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guszt\u00e1v","family":"B\u00e9lteki","sequence":"additional","affiliation":[{"name":"Peter Cerny Alap\u00edtv\u00e1nyi Ment\u0151szolg\u00e1lat Budapest Magyarorsz\u00e1g"},{"name":"Neonatal Intensive Care Unit, Cambridge University Hospitals, NHS Foundation Trust, The Rosie Hospital Robinson Way, Cambridge, CB2 0QQ, UK UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"425","reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"1 Osterman MJ, Hamilton BE, Martin JA, et al. Births: final data for 2021. Natl Vital Stat Rep. 2023; 72: 1-53.","DOI":"10.15620\/cdc:116027"},{"key":"ref1","doi-asserted-by":"publisher","unstructured":"2 Doyle LW. Victorian Infant Collaborative Study Group. Evaluation of neonatal intensive care for extremely low birth weight infants in Victoria over two decades: I. Effectiveness. Pediatrics 2004; 113: 505-509.","DOI":"10.1542\/peds.113.3.505"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1016\/S1084-2756(02)00221-X","article-title":"Health and hospitalisations after discharge in extremely low birth weight infants","volume":"8","author":"3 Doyle","year":"2003","unstructured":"3 Doyle LW, Ford G, Davis N. Health and hospitalisations after discharge in extremely low birth weight infants. Semin Neonatol. 2003; 8: 137-145.","journal-title":"Semin Neonatol"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"4 Marlow N, Bryan Gill A. Establishing neonatal networks: the reality. 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[A respir\u00e1ci\u00f3s distressz szindr\u00f3ma kezel\u00e9s\u00e9nek trendjei a Debreceni Egyetem Klinikai K\u00f6zpontj\u00e1ba sz\u00e1ll\u00edtott igen \u00e9retlen korasz\u00fcl\u00f6ttekben.] Orv Hetil. 2023; 164: 571-576. [Hungarian]","DOI":"10.1556\/650.2023.32735"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1016\/j.resuscitation.2019.01.003","article-title":"Extensive cardiopulmonary resuscitation of preterm neonates at birth and mortality and developmental outcomes","volume":"135","author":"22 Fischer","year":"2019","unstructured":"22 Fischer N, Soraisham A, Shah PS, et al. Extensive cardiopulmonary resuscitation of preterm neonates at birth and mortality and developmental outcomes. Resuscitation 2019; 135: 57-65.","journal-title":"Resuscitation"},{"key":"ref22","doi-asserted-by":"publisher","unstructured":"23 Wilkinson D, Marlow N, Hayden D, et al. 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