新生儿早出院的安全性. 华盛顿州的经验是华盛顿州的经验
L L Liu1, C J Clemens, D K Shay
1Department of Pediatrics, University of Washington, Seattle, USA.
JAMA
|July 23, 1997
概括
新生儿早出院 (<30小时) 会增加第一个月内再入院的风险. 这包括黄,脱水和败血症的风险,特别是在年轻的母亲或初怀孕的母亲身上.
科学领域:
- 新生儿护理 新生儿护理
- 公共卫生 公共卫生
- 儿科医院再入院的情况
背景情况:
- 阴道分娩后新生儿早期泄漏是常见的,但缺乏确定的安全数据.
- 评估与早出院相关的安全性和风险对于新生儿护理实践至关重要.
研究的目的:
- 评估早期新生儿出院与随后重新入院的风险之间的关联.
- 确定与过早释放后再接收相关的特定风险因素和条件.
主要方法:
- 一项以人口为基础的病例控制研究利用了华盛顿州 (1991-1994) 相关的出生和医院出院数据.
- 包括2029名重新住院的新生儿 (病例) 和8657名对照,不包括剖腹产,多胎和早产 (<36周).
- 后勤回归分析了再住院风险,比较早期 (<30小时) 与晚些时候 (30-78小时) 的出院.
主要成果:
- 17%的新生儿经历过早产.
- 早期出院与在7,14和28天内重新入院的几率显著增加有关.
- 观察到特定子组的风险增加,包括初怀孕或18岁以下的母亲,以及黄,脱水和败血症等疾病.
结论:
- 早出院的新生儿 (<30小时) 在生命的第一个月面临重新住院的风险.
- 早出院与新生儿不良后果有关,需要仔细考虑出院时间.
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