不同胎龄新生儿出生后再入院模式分析

来源 :世界核心医学期刊文摘(儿科学分册) | 被引量 : 0次 | 上传用户:kekexil123
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Aim: To analyse rehospitalisation of newborns of all gestations. Methods: A total of 33 276 surviving infants of all gestations born between 1 October 1998 and 31 March 2000 at seven Kaiser Permanente Medical Care Program (KPMCP) delivery services were studied retrospectively. Results: Rehospitalisation rates within two weeks after nursery discharge ranged from 1.0%to 3.7%. The most common reason for rehospitalisation was jaundice. Among babies ≥34 weeks, the most important factor with respect to rehospitalisation was use of home phototherapy. Among babies who were not rehospitalised for jaundice, African- American race (adjusted odds ratio (AOR) = 0.56), and having a scheduled outpatient visit (AOR = 0.73) or a home visit (AOR = 0.59) within 72 hours after discharge were protective. Factors associated with increased risk were: being small for gestational age (AOR = 1.83), gestational age of 34-36 weeks without admission to the neonatal intensive care unit (AOR = 1.65), Score for Neonatal Acute Physiology, version II, ≥10 (AOR = 1.95), male gender (AOR = 1.24), having both a home as well as a clinic visit within 72 hours after discharge (AOR = 1.84), and birth facility (range of AORs = 1.52-2.36). Asian race was associated with rehospitalisation (AOR = 1.49)-when all hospitalisations were considered, but this association did not persist if hospitalisations for jaundice were excluded. Conclusions: In this insured population with access to integrated care, rehospitalisation rates for jaundice were strongly affected by availability of home phototherapy and by follow up. For other causes, moderate prematurity and followup visits played a large role, but variation between centres persisted even after controlling for multiple factors. Future research should include development of better process measures for evaluation of follow up strategies. Aim: To analyze rehospitalisation of newborns of all gestations. Methods: A total of 33 276 surviving infants of all gestations born between 1 October 1998 and 31 March 2000 at seven Kaiser Permanente Medical Care Program (KPMCP) delivery services were studied retrospectively. Results: The most common reason for rehospitalisation was jaundice. Among babies ≥34 weeks, the most important factor with respect to rehospitalisation was use of home phototherapy. Among babies who were not rehospitalised for jaundice, African-American race (adjusted odds ratio (AOR) = 0.56), and having a scheduled outpatient visit (AOR = 0.73) or a home visit (AOR = 0.59) within 72 hours after discharge were protective. Factors associated with increased risk were: being small for gestational age (AOR = 1.83), gestational age of 34-36 weeks without admission to the neonatal intensive care unit (AOR = 1.65), Score for Neo natal Acute Physiology, version II, ≥10 (AOR = 1.95), male gender (AOR = 1.24), having both a home as well as a clinic visit within 72 hours after discharge (AOR = 1.84), and birth facility AORs = 1.52-2.36). Asian race was associated with rehospitalisation (AOR = 1.49) -when all hospitalisations were considered, but this association did not persist if hospitalisations for jaundice were excluded. Conclusions: In this insured population with access to integrated care, rehospitalisation rates for jaundice were strongly affected by availability of home phototherapy and by follow up. For other causes, moderate prematurity and followup visits played a large role, but variation between centers persisted even after controlling for multiple factors. Future research should include development of better process measures for evaluation of follow up strategies.
其他文献
1994年初,我去挪威小城利勒哈默尔采访第十七届冬季奥运会。在体育之外,有三件事给我留下了非常深刻的印象,一是这届运动会的全部用纸都做到了回收再生;二是组委会的全体人员
高中的语文教学,不仅仅要使学生完成基本的语文知识和运用语言的能力的提升,更重要的是要让他们增强文化意识,增加民族文化的积淀,重视文化遗产的传承和发扬。笔者经过梳理与
1.商品名嘧菌酯、阿米西达、安灭达、绘绿。2.主要剂型单剂:25%、250克/升悬浮剂,25%乳油,50%水分散粒剂。混剂:嘧菌酯·苯醚甲环唑(阿米妙收),嘧菌酯·百菌清(阿米多彩)。3.
梅开二度1998年,《尖峰时刻》以东方式的打斗与西方的饶舌式幽默相结合为卖点,掀起了一场票房热潮,全球票房劲收3亿元以上。因此,该片在全美票房破亿元大关的庆功会上,就已
化学是一门以实验为基础的自然学科,为提高学生的科学素养,实验在高考化学中所占比重是比较大的,其中实验探究题因其综合性而具有较高的考查价值,因此,对实验探究题的认识、
[目的]明确氯氰菊酯和毒死蜱在龙眼上的残留行为,为氯氰菊酯和毒死蜱的合理使用及其安全性评价提供科学依据。[方法]采用田间小区方法进行氯氰菊酯和毒死蜱在龙眼环境中的消
朱安达等:电子仪骨架的抗振设计方法研究,测井技术,1996(5)20,370~373。测井仪器在使用过程中,常处于振动、碰撞和冲击的状态,如车载运输、拆装搬运、测井过程中仪器与井壁的碰撞等。忽略抗振设计有
福建省泉州市7位离退休干部离退休后不愿安享清福,不计辛苦,殚精竭虑地为抢救民族文化遗产作出巨大贡献。十几年来研究、整理、编辑出版了一套精装15卷、630万字的 Retired
2008年8月8日至24日,第29届奥林匹克运动会在北京隆重举行,共有204个国家和地区的1.6万多名运动员参加了本届奥运会。在短短的16天里,运动健儿在五环旗下同场竞技,不断创造出
2003年,广东新亚光电缆实业有限公司董事长兼总经理陈小焕光荣地当选清远市人大代表、市人大常委会委员,被评为清远市十大杰出青年、“广东优秀民营企业家”。中共中央政治