O'Brien Jane E, Dumas Helene M, Leslie David
Research Center, Franciscan Hospital for Children, Boston, MA, USA.
Department of Pediatrics, Franciscan Hospital for Children, Boston, MA, USA.
J Pediatr Rehabil Med. 2015;8(2):157-60. doi: 10.3233/PRM-150330.
To describe characteristics and care outcomes in a pediatric post-acute rehabilitation hospital for infants with Neonatal Abstinence Syndrome (NAS).
Demographic and clinical data were combined for 43 infants accounting for 46 admissions over a two-year period with a diagnosis of NAS and a goal of weaning from treatment medications.
Mean age at admission for the total sample was 21 days. One hundred percent of the infants were weaned from treatment medications at discharge and all infants were discharged to a home setting. Mean length of stay in post-acute care was 24 days (SD = 12.80; range = 4-70 days) while the mean cost of admissions was $27,904. Ninety-one percent had a public payer. Post-acute care clinical outcomes were excellent.
Post-acute care for infants with NAS could be an effective way to free NICU beds and reduce hospital costs for this population of infants.
描述一家儿科急性后康复医院中患有新生儿戒断综合征(NAS)的婴儿的特征及护理结果。
收集了43名婴儿在两年期间的46次入院的人口统计学和临床数据,这些婴儿被诊断为NAS,目标是停用治疗药物。
总样本的平均入院年龄为21天。100%的婴儿在出院时停用了治疗药物,所有婴儿均出院回家。急性后护理的平均住院时间为24天(标准差=12.80;范围=4 - 70天),而入院的平均费用为27,904美元。91%有公共支付者。急性后护理的临床结果极佳。
对患有NAS的婴儿进行急性后护理可能是释放新生儿重症监护病房床位并降低该群体婴儿医院成本的有效方法。