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Evaluation of the Effects of Lipoxin A4 and Resolvin D1 on the Severity of Transient Tachypnea of the Newborn: A Prospective Study.  
Yazarlar (8)
Emrah Çığrı
Kastamonu Üniversitesi, Türkiye
Funda Çatan İnan
Bilecik Seyh Edebali University, Türkiye
Sedat Gülten
Kastamonu Üniversitesi, Türkiye
Mehmet Akif Bildirici
Kastamonu Üniversitesi, Türkiye
Ayşe Ece Gökkaya
Kastamonu Üniversitesi, Türkiye
Metin Asıleren
Kastamonu Üniversitesi, Türkiye
Fethiye Yıldız
Kastamonu Üniversitesi, Türkiye
Hilmi Onur Kabukcu
Kastamonu Üniversitesi, Türkiye
Devamını Göster
Özet
Transient tachypnea of the newborn (TTN) is a common condition observed in neonates. Since its management often requires intensive care and leads to maternal-infant separation, it is a major source of parental concern. The present study aimed to evaluate the effects of lipoxin A4 and resolvin D1 on the clinical course of TTN and to determine whether complete blood count parameters could serve as predictors of disease severity. A total of 62 neonates admitted to the neonatal intensive care unit with a diagnosis of TTN were included. According to Silverman scoring, infants were divided into a mild group (n = 31) and a severe group (n = 31). Lipoxin A4 and resolvin D1 levels, together with complete blood count parameters, were compared between the two groups. Logistic regression and receiver operating characteristic (ROC) curve analyses were performed to assess the predictive value of these parameters for the clinical course. Serum lipoxin A4 ( = 0.005) and resolvin D1 ( = 0.002) levels were significantly higher in the mild group compared with the severe group, whereas the neutrophil-to-lymphocyte ratio ( = 0.044) and platelet-to-lymphocyte ratio ( = 0.027) were significantly lower. Resolvin D1 and the platelet-to-lymphocyte ratio were identified as significant predictors of severe disease. In predicting a mild course, lipoxin A4 demonstrated the highest sensitivity (80.6%), while resolvin D1 exhibited the highest specificity (87.1%). Lipoxin A4 and resolvin D1 appear to play a protective role in preventing severe clinical progression of transient tachypnea of the newborn.
Anahtar Kelimeler
lipoxin | resolvin | transient tachypnea of the newborn
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayınlanan tam makale
Dergi Adı Children (Basel, Switzerland)
Dergi ISSN 2227-9067 Wos Dergi Scopus Dergi
Dergi Grubu Q2
Makale Dili İngilizce
Basım Tarihi 10-2025
Cilt No 12
Doi Numarası 10.3390/children12101421