Rehospitalization of preterm infants according to the discharge risk level

Girgin, Burcu Aykanat; Çimete, Güler

doi:10.1111/jspn.12165

Cited by 18 publications

(16 citation statements)

References 26 publications

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“… 6 29 Such high rates, however, show a similar trend from previous studies. 30 On the one hand, this notifies paediatricians and caregivers of a high probability of morbidities within the first months caring at home. On the other hand, this raises concerns about discharge planning as well as a broad indication for hospital readmission.…”

Section: Discussionmentioning

confidence: 99%

Rates of rehospitalisation in the first 2 years among preterm infants discharged from the NICU of a tertiary children hospital in Vietnam: a follow-up study

et al. 2020

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ObjectivesTo describe the characteristics of rehospitalisation in Vietnamese preterm infants and to examine the time-to-first-readmission between two gestational age (GA) groups (extremely/very preterm (EVP) vs moderate/late preterm (MLP)); and further to compare rehospitalisation rates according to GA and corrected age (CA), and to examine the association between potential risk factors and rehospitalisation rates.Design and settingA cohort study to follow up preterm infants discharged from a neonatal intensive care unit (NICU) of a tertiary children’s hospital in Vietnam.ParticipantsAll preterm newborns admitted to the NICU from July 2013 to September 2014.Main outcomesRates, durations and causes of hospital admission during the first 2 years.ResultsOf 294 preterm infants admitted to NICU (all outborn, GA ranged from 26 to 36 weeks), 255 were discharged alive, and 211 (83%) NICU graduates were followed up at least once during the first 2 years CA, of whom 56% were hospital readmitted. The median (IQR) of hospital stay was 7 (6–10) days. Respiratory diseases were the major cause (70%). Compared with MLP infants, EVP infants had a higher risk of first rehospitalisation within the first 6 months of age (p=0.01). However, the difference in risk declined thereafter and was similar from 20 months of age. There was an interaction in rehospitalisation rates between GA and CA. Longer duration of neonatal respiratory support and having older siblings were associated with higher rehospitalisation rates. Lower rates of rehospitalisation were seen in infants with higher cognitive and motor scores (not statistically significant in cognitive scores).ConclusionsHospital readmission of Vietnamese preterm infants discharged from NICU was frequent during their first 2 years, mainly due to respiratory diseases. Scale-up of follow-up programmes for preterm infants is needed in low-income and middle-income countries and attempts to prevent respiratory diseases should be considered.

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Section: Discussionmentioning

confidence: 99%

Rates of rehospitalisation in the first 2 years among preterm infants discharged from the NICU of a tertiary children hospital in Vietnam: a follow-up study

et al. 2020

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“…Aykanat Girgin and Cimete [17] described the causes for re-hospitalization in about 100 preterm infants within 8 weeks after NICU discharge and reported that “medical problems,” including pneumonia, urinary tract infection, jaundice, sepsis/meningitis, anemia, dehydration, or milk allergy were the etiology for re-hospitalization among 68% of their population, and surgical diagnoses, including hernias, repair of retinopathy, and shunt implantation, were the etiology in 23%. Á Rogvi et al [10] used the Danish patient registry for hospital admission to characterize the etiology of re-hospitalization in preterm or small for gestational age infants compared to full-term infants.…”

Section: Discussionmentioning

confidence: 99%

Type of Re-Hospitalization and Association with Neonatal Morbidities in Infants of Very Low Birth Weight

et al. 2019

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Background: Preterm infants are at high risk for long-term morbidities and an increased rate of re-hospitalization. Objective: The aim of this study was to evaluate the type of re-hospitalization of very low birth weight (VLBW) infants, from infancy through adolescence, and to assess the association of neonatal morbidities with specific types of re-hospitalization. Study Design: The study cohort comprised 6,385 VLBW infants who were registered with the Maccabi Healthcare Services (MHS) from their birth hospitalization. Data were collected for up to 18 years (median 10.7 years) following neonatal intensive care unit discharge. Hospitalization types were determined from the MHS coding. Neonatal morbidities included necrotizing enterocolitis (NEC), grades 3–4 intraventricular hemorrhage (IVH), periventricular leukomalacia (PVL), bronchopulmonary dysplasia (BPD), and retinopathy of prematurity (ROP). Adjusted hazard ratios (aHR) and 95% confidence intervals (CI) were calculated using the Cox proportional hazards model. Results: Overall, 3,956 infants were re-hospitalized at least once and a total of 11,595 hospitalization types were identified. NEC, IVH, PVL, and BPD were associated with significantly higher aHRs for general pediatric (aHR 1.28–1.55), general surgical (aHR 1.18–1.46), and pediatric intensive care unit (aHR 1.57–2.04) hospitalizations. IVH and PVL were associated with significantly higher aHRs for orthopedic (aHR 2.12 and 4.88, respectively) and ophthalmology (1.76 and 4.02, respectively) hospitalizations. IVH was associated with a 14.2-fold higher aHR for neurosurgical admissions, and ROP with a 1.62-fold higher aHR for ophthalmology hospitalizations. Conclusion: Among VLBW infants, specific patterns of re-hospitalization types associated with major neonatal morbidities were identified as particularly high risks for orthopedic and ophthalmology hospitalizations in infants with IVH and PVL, and for intensive care admissions in infants with NEC and BPD.

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“…parents and their child, child abuse and parental anxiety (24,25). Providing accommodation for the mother and her partner and home support during the transition period has been reported to reduce the number of re-hospitalisations and visits to the emergency department (26,27).…”

Section: Accepted Articlementioning

confidence: 99%

French neonatal society position paper stresses the importance of an early family‐centred approach to discharging preterm infants from hospital

et al. 2019

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Rehospitalization of preterm infants according to the discharge risk level

Abstract: Nurses can help to minimize rehospitalization of infants by parental education, telephonic counseling, frequent observation, and home care support.

Cited by 18 publications

References 26 publications

Rates of rehospitalisation in the first 2 years among preterm infants discharged from the NICU of a tertiary children hospital in Vietnam: a follow-up study

Rates of rehospitalisation in the first 2 years among preterm infants discharged from the NICU of a tertiary children hospital in Vietnam: a follow-up study

Type of Re-Hospitalization and Association with Neonatal Morbidities in Infants of Very Low Birth Weight

French neonatal society position paper stresses the importance of an early family‐centred approach to discharging preterm infants from hospital

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