Which Factors Predict Hospital Length-of-Stay for Children Admitted to the Neonatal Intensive Care Unit and Pediatric Ward? A Hospital-Based Prospective Study

Sahiledengle, Biniyam; Tekalegn, Yohannes; Zenbaba, Demisu; Woldeyohannes, Demelash; Teferu, Zinash

doi:10.1177/2333794x20968715

Cited by 17 publications

(19 citation statements)

References 28 publications

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“…Similar to other studies, the current study showed that lower birth weight is associated with longer hospital stay. 29 , 30 This is shown by the logistic regression analysis where an increase in birth weight was found to be protective and thus is associated with a shorter hospital stay, ie ≤7 days (AOR = 0.3). Neonates with comorbid illness and neurologic features were more likely to stay longer (AOR = 3.9 and AOR = 4.37 respectively).…”

Section: Discussionmentioning

confidence: 91%

Length of Hospital Stay and Its Predictors Among Neonatal Sepsis Patients: A Retrospective Follow-Up Study

Sisay¹,

Mengistu²,

Taye³

et al. 2022

IJGM

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Introduction:Sepsis is common among neonates, and is often fatal. Hospitalization results in severe nosocomial infections which could be resistant to antibiotics. It also incurs higher fees for medical care. Methods: A retrospective follow-up study, which includes 206 neonates, was conducted to assess the length of hospital stay among neonatal sepsis patients from September 2018 to September 2020 at TASH Hospital, Addis Ababa, Ethiopia. Data were collected from medical charts. Mean length of hospital stay was compared using independent sample t-tests. Risk factors for length of stay were identified using binary logistic regression analysis. Results: All neonates stayed a total of 325 days, which gives 75,512 neonate-days. Neonates who stayed more than 7 days had low mean birth weight and higher mean age at admission. Mean length of stay was higher among neonates with comorbid illness, neonates with drug therapy problems and male neonates. Even though the mean length of stay is shorter among neonates with maternal PROM and CS delivery, these maternal factors were found to be insignificant in the multivariate logistic regression. Discussion: Similar to other studies, neonates with low birth weight and comorbidity had a longer hospital stay. Neonates with maternal PROM and CS delivery had a shorter stay. But these maternal factors, identified by prior studies as risk factors for neonatal sepsis and its mortality, are not found to be predictors of prolonged hospitalization. Having neurologic features and drug therapy problems among neonates with sepsis prolonged hospital stay. Conclusion:The mean length of stay varies with respect to maternal and neonatal factors. Lower birth weight, presence of neurologic features, presence of comorbidity, presence of drug therapy problems and being male are found to be predictors of a longer hospital stay among neonates with sepsis.

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Section: Discussionmentioning

confidence: 91%

Length of Hospital Stay and Its Predictors Among Neonatal Sepsis Patients: A Retrospective Follow-Up Study

Sisay¹,

Mengistu²,

Taye³

et al. 2022

IJGM

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“…Some differences in the hospital unit's colonization profile can be related to patient's turnover and hospital stay in each unit, as well as the severity illness of inpatients. As seen in the HAI risk factor analysis, longer hospital stay is correlated with the presence of HAI in the current hospitalization, specific HAIrB increase and invasive device use, with several large studies also documenting these correlations (Jia et al, 2019;Sahiledengle et al, 2020;Su et al, 2020). EMG with high patient's turnover (shorter hospital stay), showed less HAIrB load compared to the total bacteria, as well as lower positivity of BL genes, MDR and CARB-R bacteria.…”

Section: Discussionmentioning

confidence: 82%

Healthcare-Associated Infections-Related Bacteriome and Antimicrobial Resistance Profiling: Assessing Contamination Hotspots in a Developing Country Public Hospital

Sereia

Christoff²,

Cruz³

et al. 2021

Front. Microbiol.

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Hospital-built environment colonization by healthcare-associated infections-related bacteria (HAIrB) and the interaction with their occupants have been studied to support more effective tools for HAI control. To investigate HAIrB dynamics and antimicrobial resistance (AMR) profile we carried out a 6-month surveillance program in a developing country public hospital, targeting patients, hospital environment, and healthcare workers, using culture-dependent and culture-independent 16S rRNA gene sequencing methods. The bacterial abundance in both approaches shows that the HAIrB group has important representativeness, with the taxa Enterobacteriaceae, Pseudomonas, Staphylococcus, E. coli, and A. baumannii widely dispersed and abundant over the time at the five different hospital units included in the survey. We observed a high abundance of HAIrB in the patient rectum, hands, and nasal sites. In the healthcare workers, the HAIrB distribution was similar for the hands, protective clothing, and mobile phones. In the hospital environment, the healthcare workers resting areas, bathrooms, and bed equipment presented a wide distribution of HAIrB and AMR, being classified as contamination hotspots. AMR is highest in patients, followed by the environment and healthcare workers. The most frequently detected beta-lactamases genes were, blaSHV–like, blaOXA–23–like, blaOXA–51–like, blaKPC–like, blaCTX–M–1, blaCTX–M–8, and blaCTX–M–9 groups. Our results demonstrate that there is a wide spread of antimicrobial resistance due to HAIrB in the hospital environment, circulating among patients and healthcare workers. The contamination hotspots identified proved to be constant over time. In the fight for patient safety, these findings can reorient practices and help to set up new guidelines for HAI control.

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“…The lower the gestational age the longer the mechanical ventilation, oxygen therapy, and hospital stay. 11 The patients <28 weeks GA are divided into two subgroups: the non-BPD group (n = 19) and the moderate-severe BPD group (n = 27). The main LUS pattern and predictors of BPD at 36 weeks' PMA are summarized in Table 2.…”

Section: Resultsmentioning

confidence: 99%

“…The duration of mechanical ventilation and oxygen therapy determine the severity and degree of BPD. The lower the gestational age the longer the mechanical ventilation, oxygen therapy, and hospital stay 11 …”

Section: Resultsmentioning

confidence: 99%

Lung ultrasound in premature infants as an early predictor of bronchopulmonary dysplasia

Radulova

Vakrilova

Hitrova‐Nikolova

et al. 2022

J of Clinical Ultrasound

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Purpose: Lung ultrasound (LUS) is a widely used technique in neonates to diagnose a lot of acute diseases. However, its role in the diagnosis of chronic lung conditions is still to be evaluated. We aimed to describe the changes in ultrasound images as well as the appearance of lung consolidations (LC) in very low birth weight (VLBW) infants with and without bronchopulmonary dysplasia (BPD).Methods: For a period of 2 years we prospectively examined 124 VLBW infants, divided into two main groups: below 28 gestational weeks with two subgroups-BPD (moderate and severe) and non-BPD, and 28-32 gestational weeks with two subgroups-BPD (moderate and severe) and non-BPD group. We performed weekly LUS until 36 weeks' postmenstrual age (PMA). On the seventh postnatal day, we calculated the LUS score as a semiquantitative score that represents the aeration (0-3) in three different areas (upper anterior, lower anterior, lateral) of each lung.Results: We performed around 750 LUS exams. The BPD groups had LUS scores above 8 on the seventh day, p < 0.001. The number of LC was higher in the BPD groups 14 (3-45) than in the mild or non-BPD groups 2.5 (0-6), p < 0.001, and the difference was significant for the period between 1 week and 1 month after birth, p = 0.001. In the BPD group <28 weeks' PMA, LC appeared equally in the anterior, lateral, and posterior fields, while in the BPD group 28-32 weeks' PMA, LC are more typical for the anterior-lateral fields. Conclusion:Serial LUS exams and identification of LC could be early predictors of moderate and severe forms of BPD. LUS score >8 on the seventh postnatal day is an early predictor of severe BPD. LC in more lung fields are typical for the severe forms of the disease.

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Which Factors Predict Hospital Length-of-Stay for Children Admitted to the Neonatal Intensive Care Unit and Pediatric Ward? A Hospital-Based Prospective Study

Cited by 17 publications

References 28 publications

Length of Hospital Stay and Its Predictors Among Neonatal Sepsis Patients: A Retrospective Follow-Up Study

Length of Hospital Stay and Its Predictors Among Neonatal Sepsis Patients: A Retrospective Follow-Up Study

Healthcare-Associated Infections-Related Bacteriome and Antimicrobial Resistance Profiling: Assessing Contamination Hotspots in a Developing Country Public Hospital

Lung ultrasound in premature infants as an early predictor of bronchopulmonary dysplasia

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