Risk for pediatric intensive care utilization in children born before 30 weeks of gestation: a single-center study
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View abstract on PubMed
Summary
This summary is machine-generated.Approximately 10% of infants born before 30 weeks gestation require pediatric intensive care unit (PICU) admission after neonatal intensive care unit (NICU) discharge. Extreme prematurity and necrotizing enterocolitis increase this risk.
Area Of Science
- Neonatalogy
- Pediatric Critical Care
- Public Health
Background
- Increased survival rates for preterm infants.
- Preterm infants face higher morbidity and healthcare utilization post-neonatal intensive care unit (NICU) discharge.
Purpose Of The Study
- Determine the rate of pediatric intensive care unit (PICU) admission in infants born before 30 weeks gestational age (GA) after NICU discharge.
- Identify risk factors for PICU admission in this vulnerable population.
Main Methods
- Retrospective, single-center study.
- Included 459 infants born between 2016-2021 with GA < 30 weeks.
- Follow-up period of 3-9 years post-NICU discharge.
Main Results
- 10.9% of infants were admitted to the PICU at least once.
- PICU admission rates varied by GA (23.5% at 24 weeks vs. 6.5% at 29 weeks).
- Gestational age < 28 weeks (OR 2.41) and necrotizing enterocolitis grade ≥ 2 (OR 6.20) were independent risk factors for PICU admission.
Conclusions
- One in ten infants born before 30 weeks gestation required PICU admission after NICU discharge.
- Extreme prematurity and necrotizing enterocolitis are significant risk factors for subsequent PICU admission.
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