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Factors associated with readmission in late-preterm infants: a matched case-control study
Laurel B Moyer1, Neera K Goyal2, Jareen Meinzen-Derr3
1Divisions of Neonatology and Perinatal Institute laurel.moyer@cchmc.org.
Hospital Pediatrics
|October 16, 2014
Summary
Longer hospital stays for late-preterm infants born via cesarean delivery reduce readmission risk. Mode of delivery is key for identifying infants needing closer monitoring post-discharge.
Area of Science:
- Neonatal care
- Pediatric readmission risk factors
Background:
- Late-preterm infants (34-36 weeks' gestation) face higher readmission risks.
- Identifying specific risk factors is crucial for effective clinical management.
Purpose of the Study:
- To evaluate risk factors for readmission in late-preterm infants.
- To identify predictors for readmission within 28 days of birth.
Main Methods:
- Retrospective, matched case-control study.
- Involved 268 late-preterm infants across 8 US hospitals in 2009.
- Utilized multivariable logistic regression and subgroup analysis for hyperbilirubinemia.
Main Results:
- A 3.6% readmission rate was observed among 1861 late-preterm infants.
- Increased length of hospital stay significantly reduced readmission odds (OR 0.57).
- This association was significant for cesarean-born infants but not vaginally born.
Conclusions:
- Longer hospital stays are linked to decreased readmission risk for late-preterm infants, particularly those born via cesarean delivery.
- Mode of delivery is a potential factor in identifying high-risk late-preterm infants for readmission.
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