正常な新生児の早期産後退院後,栄養に関する問題で再入院
M B Edmonson1, J J Stoddard, L M Owens
1Department of Pediatrics, Center for Health Sciences, University of Wisconsin-Madison, 53792-4116, USA.
JAMA
|July 23, 1997
まとめ
新生児の産後早期出院は,栄養不良による再入院リスクを増加させない. 数多くの母体および乳児の要因が再入院に関連していますが,退院のタイミングは重要な独立した危険因子ではありません.
科学分野:
- 新生児の健康について
- 公衆衛生政策 公共衛生政策
- 母と赤ちゃんのケア
背景:
- 1996年の新生児と母親の健康保護法 (Newborns' and Mothers' Health Protection Act of 1996) は,出産後の短期間の入院に関する政策論議に続いて制定されました.
- この議論では,新生児の早期出院による健康への悪影響に関する人口ベースの証拠が欠けていた.
研究 の 目的:
- 産後早期の退院が,栄養に関する問題により正常な新生児の再入院リスクを高めるかどうかを調査する.
主な方法:
- ネストされた症例対照研究では,ウィスコンシン州の出生証明書と1991年から1994年の退院データを分析した.
- 120,290人の正常な新生児を含む;症例は210人の再入院した乳児であり,対照群は630人の乳児であった.
- 再入院アウトカムでは,栄養不良,脱水,または4日から28日の間の不十分な体重増加に焦点を当てました.
主要な成果:
- 早期放出は著しく増加したが,栄養関連の再入院は安定したままだった.
- 再入院した乳児は,母乳の授乳,初子,早産,低学歴の母親,未婚者,メディケイド受給の母親の方が多かった.
- 早期退院は,再入院リスクの増加と独立して関連していなかった (aOR1.05,95%CI 0.71-1.53).
結論:
- 新生児と母性の要因は,栄養不良のために再入院のリスクの増加と関連しています.
- 早期出産後の出院は,それ以外の健康な新生児の栄養関連の問題に対する再入院のリスクを独立して上昇させるようには見えません.
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