Health Care Utilization by Preterm Infants with Respiratory Complications in Quebec
Autor: | Andrea Benedetti, Jennifer S. Landry, Kevin Schwartzman, Dick Menzies, Yulan Jin, Dan Croitoru |
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Jazyk: | angličtina |
Rok vydání: | 2012 |
Předmět: |
Male
Pulmonary and Respiratory Medicine Pediatrics medicine.medical_specialty Respiratory complications Adolescent MEDLINE Patient Readmission Drug Costs Cohort Studies Young Adult Diseases of the respiratory system mental disorders Health care Humans Medicine Longitudinal Studies Young adult Intensive care medicine Bronchopulmonary Dysplasia Respiratory Distress Syndrome Newborn Respiratory distress RC705-779 business.industry Mental Disorders Infant Newborn Quebec Health Care Costs Preterm Births Health Services Respiration Disorders medicine.disease Asthma Hospitalization Bronchopulmonary dysplasia Female Original Article Nervous System Diseases business Infant Premature Cohort study |
Zdroj: | Canadian Respiratory Journal, Vol 19, Iss 4, Pp 255-260 (2012) |
ISSN: | 1198-2241 |
Popis: | INTRODUCTION: Despite notable advances in prenatal and neonatal care, respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) remain important complications of preterm births, and their long-term sequelae are poorly understood.OBJECTIVE: To describe health care utilization and costs over a 16- to 25-year follow-up period in a cohort of preterm infants with respiratory complications.METHODS: Using provincial health administrative databases from Quebec, a cohort of individuals who were born prematurely with complications of RDS and/or BPD between 1983 and 1992 were identified. From these databases, which cover all Quebec residents, health services use, medication prescriptions, associated diagnoses and costs were tabulated.RESULTS: A total of 3442 subjects with respiratory complications following preterm birth were identified, of whom 773 had been diagnosed with BPD and 2669 had RDS without BPD. Asthma was diagnosed twice as frequently (1.7 to 2.4 times) in the BPD group compared with the RDS group, with more frequent hospital readmission, and outpatient and emergency room visits. Although respiratory causes remained the main reason for consultation in both groups, 3.7% and 3.4% of the outpatient visits were for mental or psychological ailments, such as depression, attention deficit hyperactivity disorder or dysthymia for the BPD and RDS groups, respectively.CONCLUSION: BPD patients experienced more hospital admissions, outpatient and emergency rooms visits, and were more likely to suffer from respiratory illnesses and to use respiratory drugs than RDS patients. Neurological and psychiatric complications occurred at a high frequency in both RDS and BPD subjects, and were associated with significant use of antipsychotic and antidepressant medications. |
Databáze: | OpenAIRE |
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