Risk factors for hospital readmission among infants with prolonged neonatal intensive care stays

Autor:	Alexis Snyder, Jay G. Berry, Laura H. Rubinos, Elizabeth Casto, Eddie Simpser, Kerri Z. Machut, Matthew Hall, Carolyn C. Foster
Rok vydání:	2021
Předmět:	medicine.medical_specialty Hospital readmission Public health insurance business.industry MEDLINE Obstetrics and Gynecology Readmission rate medicine.disease Hydrocephalus Gastrostomy tube Intensive care Pediatrics Perinatology and Child Health Emergency medicine medicine business High risk infants
Zdroj:	Journal of Perinatology. 42:624-630
ISSN:	1476-5543 0743-8346
DOI:	10.1038/s41372-021-01276-3
Popis:	OBJECTIVE To assess risk factors associated with 30-day hospital readmission after a prolonged neonatal intensive care stay. STUDY DESIGN Retrospective analysis of 57,035 infants discharged >14 days from the NICU between 2013 and 2016. Primary outcome was 30-day, all-cause hospital readmission. Adjusted likelihood of readmission accounting for demographic and clinical characteristics, including chronic conditions was also estimated. RESULTS The 30-day readmission rate was 10.7%. Respiratory problems accounted for most (31.0%) readmissions. In multivariable analysis, shunted hydrocephalus [OR 2.2 (95%CI 1.8-2.7)], gastrostomy tube [OR 2.0 (95%CI 1.8-2.3)], tracheostomy [OR 1.5 (95%CI 1.2-1.8)], and use of public insurance [OR 1.3 (95%CI 1.2-1.4)] had the highest likelihood of readmission. Adjusted hospital readmission rates varied significantly (p
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::24eb90e849eed5ca529a8817c66f8bf5 https://doi.org/10.1038/s41372-021-01276-3 Zobrazit plný text záznamu Full text from SpringerLink