在非常低出生体重或非常早产婴儿中需要重复住院:前性队列研究
Vivek Kumar1, Pratima Anand2, Ankit Verma1
1Newborn Health Knowledge Centre (NHKC), Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, 110029, India.
Indian journal of pediatrics
|January 22, 2024
概括
近16%的非常早产或低出生体重婴儿需要在六个月内重复住院,通常是由于肺炎等感染. 较低的社会经济地位是关键的风险因素,突出了加强退院后护理的需要.
科学领域:
- 新生儿护理 新生儿护理
- 儿科结局 儿科结局
- 公共卫生 公共卫生
背景情况:
- 非常早产 (<32周怀孕) 和出生体重非常低 (<1500克) 的婴儿在出院后面临不良健康结果的高风险.
- 在这个弱势群体中,重复住院可能会对长期生存和医疗保健成本产生重大影响.
研究的目的:
- 确定在怀孕32周之前出生或出生后6个月内体重小于1500克的新生儿重复住院的发生率,原因和危险因素.
主要方法:
- 符合条件的新生儿在III级NICU的未来招生.
- 每隔两周一次通过访问,多媒体和电话进行随访,直到出院后的六个月,以记录重新入院的细节.
- 多变量分析以确定风险因素.
主要成果:
- 重复住院的发生率为16%,发生率密度为每100人/月3.6.
- 肺炎 (29.6%),败血症 (18.5%) 和胃肠炎 (11.1%) 是最常见的原因.
- 重复住院主要发生在出院后两个月内 (92.6%),较低的社会经济地位是显著的风险因素 (aOR 5.9).
结论:
- 非常低出生体重或非常早产婴儿的很大比例经历了重复住院,主要是在出院后两个月内,感染是主要原因.
- 较低的社会经济地位是重复住院的重要预测因素.
- 全面的出院后护理套餐对于预防疾病和确保这些高风险婴儿的最佳长期生存至关重要.
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