Neonatal Hospital Readmissions

Bawazeer, Manal; Alsalamah, Raghad K; Almazrooa, Dalal Raed; Alanazi, Shaden Khalaf; Alsaif, Nada; Alsubayyil, Reem Saud; Althubaiti, Alaa; Mahmoud, Aly Farouk

doi:10.4103/jcn.jcn_64_21

Cited by 5 publications

(3 citation statements)

References 15 publications

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“…Previous research showed that males are more likely to be readmitted compared to females [9]. Our findings are consistent with this affirmation since there is a predominance of male newborns at readmissions (60.1%) and fewer females (39.8%).…”

Section: Discussionsupporting

confidence: 92%

“…In the present study, although the most prevalent diagnosis was infection, of bacterial or viral origin (bronchiolitis, enterocolitis, sepsis), the primary cause of readmission was represented by growth failure (25%). In a study conducted by Bawazeer M. et al the most common cause of readmission was respiratory disease, followed by jaundice, and fever [9]. Although only one patient was SARS-CoV-2 positive, fever was the most common COVID-19 patients admitted to a Pediatric Hospital in Bucharest [14].…”

Section: Discussionmentioning

confidence: 98%

“…Nevertheless, some neonates may experience readmission at any age. For this reason, determining the related maternal and neonatal risk factors is crucial when analyzing how age affects neonatal outcomes, care-givers, and financial obligations [3].…”

Section: Introductionmentioning

confidence: 99%

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Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești – Romania

Roșca,

Constantin,

Popescu

et al. 2024

Preprint

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Early discharge after childbirth has led to a rise in neonatal readmission, becoming a major concern in recent decades. Our research aimed to identify the risk factors and incidence of neonatal readmission, as well as explore preventive measures. Our study at the Clinical Hospital of Pediatrics in Ploiești, Romania included 108 neonates admitted during the neonatal period. This accounted for 2.06% of all admissions (5226). The most prevalent cases were malnutrition (25%), fever (20.3%) and bronchiolitis (17.5%). Diarrhea and infectious gastroenteritis were also observed (14.8%), along with acute rhinoconjunctivitis (9.2%) and late onset sepsis (3.7%). No deaths were recorded. The most significant characteristics identified were number of children (p&lt;0.001) and age at maternity discharge (p&lt;0.001). By following the prevention rules, malnutrition, feeding errors, and infections can be avoided. This includes practicing proper hand hygiene for both mothers and medical staff, as well as educating and demonstrating to mothers the benefits of breastfeeding. In addition, all newborns discharged from the maternity ward should benefit from follow-up at 7-10 days of life. Our results confirm the effectiveness of a multidisciplinary team and endorse promoting breastfeeding. Implementing quality control measures and regularly evaluating the surveillance program will help improve its effectiveness.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 98%

See 1 more Smart Citation

Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești – Romania

Roșca,

Constantin,

Popescu

et al. 2024

Preprint

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Trends in mortality and associated factors among neonates hospitalized at Muhimbili national hospital, Tanzania: A three-year retrospective study

Msonda,

Moshiro,

Salim

et al. 2024

PLoS ONE

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Background Tanzania is amongst the countries with high neonatal mortality in Sub-Saharan Africa (SSA), and estimates vary widely among regions. Various interventions are being implemented at Muhimbili National Hospital (MNH), a tertiary and teaching facility, to contribute towards the reduction of neonatal mortality. This study aimed to detail the magnitude, trends and factors associated with neonatal mortality at MNH. Methods and findings A hospital-based retrospective cohort study was conducted from January 2018 to December 2020. Records of all neonates admitted during the study period were extracted from neonatal registers and the electronic medical record system and recorded in a pretested data collection form. Data cleaning and analysis were done using SPSS version 23. Poisson regression was used to determine adjusted relative risk (aRR) with a 95% confidence interval (CI) to test association. A p-value of <0.05 was considered significant. Of the 17,021 neonates admitted, 11,552 (67.9%) were inborn. During the three years reviewed, 1,814 (10.7%) neonates died. The mortality rates were 5.9% for inborn neonates, 24.1% for outborn neonates, and 4.8% for readmitted neonates. Mortality trends declined quarterly at an average of 0.15%. Factors associated with neonatal mortality included; birth weight < 2500g [{aRR = 1.14; 95% CI (1.01–1.29)}], GA < 37 weeks[{aRR = 1.17; 95% CI (1.03–1.33)}], fifth-minute Apgar score <7[{aRR = 2.53; 95% CI (2.32–2.77)}], vaginal delivery[{aRR = 1.39; 95% CI (1.24–1.55)}], out-born[{aRR = 2.85; 95% CI (2.58–3.14)}], positive maternal HIV status[{aRR = 1.18; 95% CI (1.02–1.36)}] and maternal age ≥35years [{aRR = 1.12; 95% CI (1.01–1.25)}]. Conclusion Despite a declining trend, in-hospital neonatal mortality at MNH is still high. Ongoing quality improvement strategies should prioritize the identification of neonates with risk factors for poor outcomes. Specifically, the high proportion of mortality among out-born neonates requires more attention and further investigation.

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Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania

Roșca,

Constantin,

Popescu

et al. 2024

Medicina

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Background and Objectives: Early discharge after childbirth has led to a rise in neonatal readmission, thereby becoming a major concern in recent decades. Our research aimed to identify the risk factors and incidence of neonatal readmission and explore preventive measures. Materials and Methods: Our study at the Clinical Hospital of Pediatrics in Ploiești, Romania, included 108 neonates admitted during the neonatal period. Results: This accounted for 2.06% of all admissions (5226). The most prevalent cases were malnutrition (25%), fever (20.3%), and bronchiolitis (17.5%). Diarrhea and infectious gastroenteritis were also observed (14.8%), along with acute rhinoconjunctivitis (9.2%) and late-onset sepsis (3.7%). No deaths were recorded. The most significant characteristics identified were number of children (p < 0.001) and age at maternity discharge (p < 0.001). By following the prevention rules, malnutrition, feeding errors, and infections can be avoided. This includes practicing proper hand hygiene for both mothers and medical staff, as well as educating and demonstrating to mothers the benefits of breastfeeding. In addition, all newborns discharged from the maternity ward would benefit from follow-up at 7–10 days of life. Conclusions: Our results confirm the effectiveness of a multidisciplinary team and endorse the promotion of breastfeeding. Implementing quality control measures and regularly evaluating the surveillance program will help improve its effectiveness.

show abstract

Neonatal Hospital Readmissions

Cited by 5 publications

References 15 publications

Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești – Romania

Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești – Romania

Trends in mortality and associated factors among neonates hospitalized at Muhimbili national hospital, Tanzania: A three-year retrospective study

Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania

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