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Follow-Up of Low Birth Weight Preterm Infants After Hospital Discharge: Incidence and Reasons for Rehospitalization
Journal of Tropical Pediatrics ( IF 2 ) Pub Date : 2021-04-07 , DOI: 10.1093/tropej/fmab029
Nihal Baysoy 1 , Sultan Kavuncuoğlu 2 , Mehmet Gökhan Ramoğlu 3 , Esin Yildiz Aldemir 2 , Müge Payasli 2
Affiliation  

Objectives The rehospitalization frequency/indications of low birth weight (LBW) preterms and the effect of rehospitalization on growth and neurodevelopment were investigated. Methods LBW preterms discharged from NICU were prospectively followed until the corrected age of 1 year. Infants rehospitalized after discharge were defined as the study group and those not rehospitalized as the control group. The frequency, duration and etiology of rehospitalization were investigated and the effects of neonatal complications, surgery and socio-demographic status on rehospitalization were assessed. Results The study and the control group included 113 and 217 infants, respectively. Infants in the study group were rehospitalized 247 times in total. Rehospitalization was significantly higher in the male gender (39.7% vs. 28.9%, p < 0.05). Hyperbilirubinemia-anemia, anemia-surgery and pulmonary-other infections were the most common indications for rehospitalization in the 0–14 days, 15 days to 2 months and 2–12 months, respectively. Intrauterine growth had no impact on rehospitalization. Somatic growth and neurodevelopment were significantly delayed in the study group (p < 0.05). Conclusion Birth weight and gestational week are the most important determinants of rehospitalization. Rehospitalized preterm infants have significant deficits in both somatic growth and neurodevelopment despite high-quality follow-up care.

中文翻译:

低出生体重早产儿出院后的随访:发生率和再住院原因

目的 调查低出生体重 (LBW) 早产儿的再住院频率/适应症以及再住院对生长和神经发育的影响。方法对从NICU出院的LBW早产儿进行前瞻性随访,直至矫正年龄1岁。将出院后再次住院的婴儿定义为研究组,未再次住院的婴儿定义为对照组。调查再住院的频率、持续时间和病因,并评估新生儿并发症、手术和社会人口状况对再住院的影响。结果研究组和对照组分别包括113和217名婴儿。研究组婴儿共再住院247次。男性的再住院率显着更高(39.7% vs. 28.9%,p < 0.05)。高胆红素血症-贫血、贫血-手术和肺部-其他感染分别是 0-14 天、15 天至 2 个月和 2-12 个月再住院的最常见指征。宫内生长对再住院没有影响。研究组的体细胞生长和神经发育显着延迟(p < 0.05)。结论 出生体重和孕周是再住院的最重要决定因素。尽管进行了高质量的后续护理,但再次住院的早产儿在躯体生长和神经发育方面仍存在显着缺陷。研究组的体细胞生长和神经发育显着延迟(p < 0.05)。结论 出生体重和孕周是再住院的最重要决定因素。尽管进行了高质量的后续护理,但再次住院的早产儿在躯体生长和神经发育方面仍存在显着缺陷。研究组的体细胞生长和神经发育显着延迟(p < 0.05)。结论 出生体重和孕周是再住院的最重要决定因素。尽管进行了高质量的后续护理,但再次住院的早产儿在躯体生长和神经发育方面仍存在显着缺陷。
更新日期:2021-04-07
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