Epidemiology of readmissions in early infancy following nonelective cesarean delivery.
Epidemiology of readmissions in early infancy following nonelective cesarean delivery.
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DOI：
10.1038/s41372-020-0730-1
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发表时间：
2021-01
期刊：
影响因子：
--
通讯作者：
C/SOAP Consortium
中科院分区：
文献类型：
--
作者：
Ambalavanan N;Jauk V;Szychowski JM;Boggess KA;Saade G;Longo S;Esplin S;Cleary K;Wapner R;Letson K;Owens M;Blackwell S;Andrews W;Tita AT;C/SOAP Consortium
Determine incidence and risk factors for readmissions in early infancy Secondary analysis of data from the Cesarean Section Optimal Antibiotic Prophylaxis trial. All unplanned revisits (unplanned clinic, ER visits, and hospital readmissions) and hospital readmissions (initial discharge to 3-month follow-up) were analyzed. 295 (15.9%) of 1850 infants had revisits with risk factors being ethnicity (adjusted odds ratio (aOR): 0.6 for Hispanic), maternal postpartum antibiotics (1.89), azithromycin treatment (1.22), small for gestational age (1.68), apnea (3.82), and hospital stay after birth >90th percentile (0.49). 71 (3.8%) of 1850 infants were readmitted with risk factors being antenatal steroids (aOR 2.49), elective repeat C/section (0.72), postpartum maternal antibiotics (2.22), O2 requirement after delivery room (2.82), and suspected/proven neonatal sepsis (0.55). Multiple risk factors were identified, suggesting potential impact on the neonatal microbiome (maternal postpartum antibiotics) or issues related to access/cost of care (Hispanic ethnicity associated with fewer revisits).
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