在正常新生儿早产后出院后,与食相关的问题重新入院
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
概括
新生儿早产后出院不会增加因养问题而重新入院的风险. 一些母亲和婴儿因素与再入院有关,但出院时间不是一个重要的独立风险因素.
科学领域:
- 新生儿健康 新生儿健康
- 公共卫生政策 公共卫生政策
- 孕产妇和婴儿的护理
背景情况:
- 1996年"新生儿和母亲健康保护法"是在对产后短暂住院的政策辩论之后颁布的.
- 这场辩论缺乏基于人口的证据,证明早出院的新生儿对健康有不良影响.
研究的目的:
- 调查产后早期出院是否会增加正常新生儿由于食相关问题而重新入院的风险.
主要方法:
- 一项嵌套病例控制研究分析了威斯康星州出生证明和1991-1994年的医院出院数据.
- 包括120,290名正常新生儿;病例为210名重新入院的婴儿,对照为630名婴儿.
- 再接收的结果主要集中在4-28天之间的养问题,脱水或体重增加不足.
主要成果:
- 早期排放量大幅上升,但与食相关的再接收量保持稳定.
- 再接收的婴儿更有可能是母乳养,长子,早产,或母亲受教育程度较低,未婚状态,或在医疗补助.
- 早出院并没有独立地与再入院风险增加有关 (aOR1.05,95% CI 0.71-1.53).
结论:
- 新生儿和母亲因素与因养问题而增加再入院风险有关.
- 在其他健康的新生儿中,早产后出院似乎不会独立地提高因食相关问题的再入院风险.
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