Readmission of late preterm infants after discharge from nursery |
Myo Jing Kim |
Department of Pediatrics, Dong-A University College of Medicine, Busan, Korea |
신생아실에서 퇴원한 후기 조산아들의 재입원에 대한 고찰 |
김묘징 |
동아대학교 의과대학 소아과학교실 |
Correspondence:
Myo Jing Kim, Email: myojing@hanmail.net |
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Abstract |
Purpose To evaluate the risk factors for hospital readmission during the neonatal period among late preterm infants who
were discharged after nursery care.
Methods In this retrospective study, we reviewed medical records of 135 late preterm infants readmitted to the neonatal
intensive care unit (NICU) during the neonatal period, after discharge from nursery of IL Sin Christian Hospital from January
2003 to December 2008. We compared the risk factors of the hospital readmission group with the control group.
Results The gestational age and birth weight of 135 study infants were 36+1¡¾0.5 weeks and 2,718.4¡¾296.9 gm, respectively.
Identified risk factors of hospital readmission were breastfeeding (71.9% vs. 44.4%), short duration of nursery stay (3.3¡¾1.6
days vs. 4.1¡¾2.0 days), firstborn (60.0% vs. 45.3%), and maternal pregnancy complication (31.9% vs. 18.8%). Jaundice accounted
for the majority of hospital readmissions (83.7%), and the age at hospital readmission was 6.2¡¾3.6 postnatal days,
mostly at 5-6 postnatal days (40.7%). Identified risk factors of hospital readmission due to jaundice were spontaneous normal
vaginal delivery (43.4% vs. 1.8%), younger maternal age (29.8¡¾3.4 yrs vs. 32.1¡¾4.2 yrs), and lower maternal pregnancy complication
(28.3% vs. 50%).
Conclusion Identified risk factors of hospital readmission were breastfeeding, short duration of nursery stay, firstborn, and
maternal pregnancy complication. Jaundice accounted for the majority of hospital readmissions, and the age at hospital readmission
was 6.2¡¾3.6 postnatal days. |
Key Words:
Late, Preterm infant, Patient readmission |
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