Rehospitalization in Infants Born < 29 Weeks' Gestation during the First 2 Years of Life: Risk Assessment
Objective This study aims to determine risk factors for rehospitalization in extremely premature infants. Study Design A retrospective cohort study of 157 infants born < 29 weeks' gestational age assessing risk factors for rehospitalization through 2 years of life. Results Multivariable logistic regression showed that an increasing number of respiratory infections (odds ratio [OR]: 1.8 [1.1-3.1] per infection p = 0.03) and inhaled steroid use at 1 year (OR: 4.0 [1.3-12.1] p = 0.01) were predictive of hospital readmission. Diuretic (OR: 27 [1.01-1,000] p = 0.04) and oxygen (OR: 32 [3.1-333] p = 0.004) use at 1 year were predictive of pediatric intensive care unit admission. The number of respiratory infections (OR: 2.8 [1.7-4.5] p < 0.0001) with reflux/aspiration necessitating G-tube/Nissen fundoplication surgical intervention with or without G-tubes alone (OR: 21.3 [2.9-166.7] p = 0.02 and OR: 22.7 [CI, 2.4-200] p = 0.04) was predictive of increased number of rehospitalizations. Conclusions Key modifiable risk factors identified were reflux/aspiration and ongoing respiratory infections. Critical time periods for diuretic, oxygen, and inhaled steroid use in this population occurred at the age of 1 year..
| Medienart: |
Artikel |
|---|
| Erscheinungsjahr: |
2016 |
|---|---|
| Erschienen: |
2016 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
|---|---|
| Enthalten in: |
American journal of perinatology - 33(2016), 1, Seite 24 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Taylor, Jane B [VerfasserIn] |
|---|
| Links: |
|---|
| Förderinstitution / Projekttitel: |
|
|---|
| PPN (Katalog-ID): |
OLC1971352101 |
|---|
| LEADER | 01000caa a2200265 4500 | ||
|---|---|---|---|
| 001 | OLC1971352101 | ||
| 003 | DE-627 | ||
| 005 | 20230511190510.0 | ||
| 007 | tu | ||
| 008 | 160212s2016 xx ||||| 00| ||eng c | ||
| 028 | 5 | 2 | |a PQ20160430 |
| 035 | |a (DE-627)OLC1971352101 | ||
| 035 | |a (DE-599)GBVOLC1971352101 | ||
| 035 | |a (PRQ)pubmed_primary_260847500 | ||
| 035 | |a (KEY)0326042920160000033000100024rehospitalizationininfantsborn29weeksgestationduri | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 082 | 0 | 4 | |a 610 |q DNB |
| 100 | 1 | |a Taylor, Jane B |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Rehospitalization in Infants Born < 29 Weeks' Gestation during the First 2 Years of Life: Risk Assessment |
| 264 | 1 | |c 2016 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ohne Hilfsmittel zu benutzen |b n |2 rdamedia | ||
| 338 | |a Band |b nc |2 rdacarrier | ||
| 520 | |a Objective This study aims to determine risk factors for rehospitalization in extremely premature infants. Study Design A retrospective cohort study of 157 infants born < 29 weeks' gestational age assessing risk factors for rehospitalization through 2 years of life. Results Multivariable logistic regression showed that an increasing number of respiratory infections (odds ratio [OR]: 1.8 [1.1-3.1] per infection p = 0.03) and inhaled steroid use at 1 year (OR: 4.0 [1.3-12.1] p = 0.01) were predictive of hospital readmission. Diuretic (OR: 27 [1.01-1,000] p = 0.04) and oxygen (OR: 32 [3.1-333] p = 0.004) use at 1 year were predictive of pediatric intensive care unit admission. The number of respiratory infections (OR: 2.8 [1.7-4.5] p < 0.0001) with reflux/aspiration necessitating G-tube/Nissen fundoplication surgical intervention with or without G-tubes alone (OR: 21.3 [2.9-166.7] p = 0.02 and OR: 22.7 [CI, 2.4-200] p = 0.04) was predictive of increased number of rehospitalizations. Conclusions Key modifiable risk factors identified were reflux/aspiration and ongoing respiratory infections. Critical time periods for diuretic, oxygen, and inhaled steroid use in this population occurred at the age of 1 year. | ||
| 540 | |a Nutzungsrecht: © Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. | ||
| 700 | 1 | |a Go, Mitzi A |4 oth | |
| 700 | 1 | |a Nyp, Michael F |4 oth | |
| 700 | 1 | |a Legino, Jennifer |4 oth | |
| 700 | 1 | |a Norberg, Michael |4 oth | |
| 700 | 1 | |a Dai, Hongying |4 oth | |
| 700 | 1 | |a Truog, William E |4 oth | |
| 773 | 0 | 8 | |i Enthalten in |t American journal of perinatology |d New York, NY : Thieme, 1983 |g 33(2016), 1, Seite 24 |w (DE-627)167919172 |w (DE-600)605671-4 |w (DE-576)015904911 |x 0735-1631 |7 nnns |
| 773 | 1 | 8 | |g volume:33 |g year:2016 |g number:1 |g pages:24 |
| 856 | 4 | 2 | |u http://www.ncbi.nlm.nih.gov/pubmed/26084750 |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a SYSFLAG_A | ||
| 912 | |a GBV_OLC | ||
| 912 | |a SSG-OLC-PHA | ||
| 912 | |a SSG-OLC-DE-84 | ||
| 912 | |a GBV_ILN_2006 | ||
| 912 | |a GBV_ILN_4012 | ||
| 912 | |a GBV_ILN_4219 | ||
| 951 | |a AR | ||
| 952 | |d 33 |j 2016 |e 1 |h 24 | ||