Mandal Dhritishree, Murugesan Ambalakkuthan
Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605006, India.
Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, 605006, India.
Indian J Pediatr. 2024 Aug 29. doi: 10.1007/s12098-024-05236-5.
To estimate the proportion of neonates getting readmitted to neonatal intensive care unit (NICU), after discharge from the hospital. Secondary objectives were to describe the clinical characteristics, reason for readmission and outcome of neonates getting readmitted.
A retrospective descriptive study was conducted to identify neonates getting readmitted to NICU within 28 d of birth and/or before 40 wk post-menstrual age (PMA). Details of neonates who were readmitted to NICU were identified and data extracted in predesigned proforma from digitalized case records (July 2021-June 2023), and outcomes were analyzed.
Out of 26,403 live-births, 5175 neonates required NICU admission (19.6%). Readmissions accounted for 5.9% (95% CI: 5.3-6.6%) of NICU admissions (305/5175) and 1.2% (95% CI: 1.0-1.3%) of live-births. Mean gestational age and birthweight were 36.8 (2.9) wk (range 25-41) and 2584 (713) g (range = 650-4900). Ninety-six (31.5%) were preterm. One hundred and three (33.8%) were high risk neonates. Median age at readmission was 17 d (range: 3-150). Infections (n = 109, 35.7%), infection-related complications (n = 18, 5.9%), feeding problems (n = 63, 20.6%), and jaundice (n = 42, 13.7%) were commonest reasons for readmission. Median duration of hospital stay was 5 d (range: 1-120). Two hundred and ninety four (96.4%) were discharged, and 10 (3.2%) neonates expired.
Readmissions accounted for 5.9% of total NICU admissions. Infections, jaundice and feeding related issues accounted for 76% of all the readmissions.
评估新生儿出院后再次入住新生儿重症监护病房（NICU）的比例。次要目的是描述再次入院新生儿的临床特征、再次入院原因及转归。
开展一项回顾性描述性研究，以确定出生后28天内和/或月经龄（PMA）40周前再次入住NICU的新生儿。确定再次入住NICU的新生儿的详细信息，并从数字化病例记录（2021年7月至2023年6月）中按照预先设计的表格提取数据，并分析转归。
在26403例活产儿中，5175例新生儿需要入住NICU（19.6%）。再次入院占NICU入院人数的5.9%（95%CI：5.3-6.6%）（305/5175），占活产儿的1.2%（95%CI：1.0-1.3%）。平均胎龄和出生体重分别为36.8（2.9）周（范围25-41周）和2584（713）克（范围=650-4900克）。96例（31.5%）为早产儿。103例（33.8%）为高危新生儿。再次入院的中位年龄为17天（范围：3-150天）。感染（n=109，35.7%）、感染相关并发症（n=18，5.9%）、喂养问题（n=63，20.6%）和黄疸（n=42，13.7%）是再次入院最常见的原因。住院时间中位数为5天（范围：1-120天）。294例（96.4%）出院，10例（3.2%）新生儿死亡。
再次入院占NICU总入院人数的5.9%。感染、黄疸和喂养相关问题占所有再次入院病例的76%。
