دورية أكاديمية
أعرض في EDS

Factors Associated With Emergency Department Visits or Readmission of Late Preterm Infants at the Neonatal Intensive Care Department, National Guard Health Affairs, Riyadh.

التفاصيل البيبلوغرافية
العنوان: Factors Associated With Emergency Department Visits or Readmission of Late Preterm Infants at the Neonatal Intensive Care Department, National Guard Health Affairs, Riyadh.
المؤلفون: Alsaif AS; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Almutairi KA; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Aljehani ND; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alanazi ED; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Alqahtani A; College of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Riyadh, SAU., Mahmoud AF; Neonatal Intensive Care Department, King Abdulaziz Medical City, Ministry of National Guard Health Affairs, Riyadh, SAU.
المصدر: Cureus [Cureus] 2023 Apr 15; Vol. 15 (4), pp. e37604. Date of Electronic Publication: 2023 Apr 15 (Print Publication: 2023).
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Cureus, Inc Country of Publication: United States NLM ID: 101596737 Publication Model: eCollection Cited Medium: Print ISSN: 2168-8184 (Print) Linking ISSN: 21688184 NLM ISO Abbreviation: Cureus Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Palo Alto, CA : Cureus, Inc.
مستخلص: Background Infants who are born between 34 0/7 and 36 6/7 weeks of pregnancy as a result of maternal or fetal factors are defined as "late preterm infants". Compared to term infants, late preterm infants are more predisposed to pregnancy complications because they are less mature physiologically and metabolically. In addition, health practitioners still face difficulties in differentiating between term and late preterm infants due to similar general appearance. The aim of this study is to explore the epidemiology of readmission among late preterm infants at the National Guard Health Affairs. The objectives of the study were to calculate the rate of readmission among late preterm infants in the first month after discharge and to identify the associated risk factors for readmission. Methods A retrospective cross-sectional study was carried out at the neonatal intensive care unit (NICU at King Abdulaziz Medical City in Riyadh). We identified preterm infants born in 2018 and the risk factors for readmission within the first month of life. Data on risk factors were collected using the electronic medical file. Results A total of 249 late preterm infants with a mean gestational age of 36 weeks were included in the study. Of them, 64 infants (25.7%) suffered from at least a subsequent admission and stayed overnight in either the inpatient department or pediatric emergency room. Maternal diabetes was a significant risk factor for readmission; on the other hand, a positive maternal Rh factor was a protective factor against readmission. Among readmitted infants (n=64), 51 infants were admitted to the emergency room (79.69%), eight infants were readmitted to the pediatric ward (12.5%), and five infants were readmitted to both (7.8%). The most common cause for pediatric ER visits was gastrointestinal (GIT) problems (27%), followed by upper respiratory tract infection (URTI) (18%) and jaundice (14%). The most common cause for direct ward readmission was jaundice (n= 5; 62%). Conclusion Gastrointestinal (GIT) issues and upper respiratory tract infections (URTIs) were the leading causes of pediatric emergency room admissions. In contrast, jaundice, congenital diaphragmatic hernia (CDH), airway problems, and regurgitation were the most frequent causes of admission to the ward, with jaundice being the primary cause. Although studies suggest that the late preterm population is at a higher risk for long-term health issues, further research is necessary to investigate this topic thoroughly.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Alsaif et al.)
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فهرسة مساهمة: Keywords: git problems; jaundice; late preterm infants; sepsis; urti
تواريخ الأحداث: Date Created: 20230517 Latest Revision: 20230519
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10184473
DOI: 10.7759/cureus.37604
PMID: 37197125
قاعدة البيانات: MEDLINE
الوصف
تدمد:2168-8184
DOI:10.7759/cureus.37604