Length of postnatal hospital stay in healthy newborns and re-hospitalization following early discharge.
Length of postnatal hospital stay in healthy newborns and re-hospitalization following early discharge.
复制标题
DOI：
10.4297/najms.2011.3146
复制
发表时间：
2011-03
期刊：
影响因子：
--
通讯作者：
Rajab M
中科院分区：
文献类型：
--
作者：
Farhat R;Rajab M
健康新生儿的产后住院时间仍然存在争议。早期出院的支持者声称这是安全的，降低了医源性感染的风险，促进了家庭纽带和依恋，并降低了住院护理和患者成本。缺点包括母乳喂养延迟，早期出院后出现影响新生儿的新情况，以及出院计划不当。这项研究的主要目的是比较早出院和晚出院与再入院的风险。记录所有健康新生儿和婴儿的住院时间，然后调查出院后出现的任何医疗问题。采用卡方检验和带置信限的Mantel-Haenszel共同优势比估计(OR)方法对再入院的相关因素进行分析。共有478名婴儿入选，其中307名婴儿48小时内出院≤。总停留时间为39小时(1.6天)。38名新生儿(7.9%)再次住院，最常见的原因是新生儿黄疸。与黄疸再入院相关的因素有母乳喂养(OR：10.3CL3.10~32.20)和住院时间≤48h(OR：13.8CL4.04~47.05)。在任何时候出院，≤48小时都会显着增加再入院的风险以及由于高胆红素血症而再次入院的风险。为了降低再次入院的风险、发病率和新生儿死亡率，计划和实施一个结构化的方案，对出院的≤婴儿48小时的跟踪是至关重要的。
The length of postnatal hospital stay for healthy newborns remains controversial. Proponents of early hospital discharge claim that it is safe, decreases the risk of iatrogenic infection, promotes family bonding and attachment, and reduces hospitalization care and patient costs. Disadvantages include delayed breastfeeding, manifestation of new conditions affecting newborns after early discharge, and improper discharge planning. The main aim of the study was to compare early discharge versus late discharge with the risk of readmission. The length of hospital stay was recorded for all healthy newborns and infants and followed by investigation of any medical problem arising after discharge. Factors associated with readmission to the hospital were analyzed by Chi square and Mantel-Haenszel Common Odds Ratio Estimate (OR) with Confidence Limits (CL). A total of 478 babies were enrolled, of which 307 were discharged ≤ 48 hours. The overall length of stay was 39 hours (1.6 days). Thirty-eight (7.9%) newborns were re-hospitalized, with the most common cause being neonatal jaundice. Factors associated with readmission for jaundice were breastfeeding (OR: 10.3 CL3.10to32.20) and length of stay ≤ 48 hours (OR: 13.8, CL4.04 to 47.05). Hospital discharge at any time ≤ 48 hours significantly increases the risk for readmission as well as the risk for readmission due to hyperbilirubinemia. Planning and implementing a structured program for follow up of infants who are discharged ≤ 48 hours are vital in order to decrease the risk for readmission, morbidity and neonatal mortality.