Korean Journal of Pediatrics 2009;52(8):888-892.
Published online August 15, 2009.
Readmission of late preterm infants after discharge from nursery
Myo Jing Kim
Department of Pediatrics, Dong-A University College of Medicine, Busan, Korea
신생아실에서 퇴원한 후기 조산아들의 재입원에 대한 고찰
김묘징
동아대학교 의과대학 소아과학교실
Correspondence: 
Myo Jing Kim, Email: myojing@hanmail.net
Abstract
Purpose
To evaluate the risk factors for hospital readmission during the neonatal period among late preterm infants who were discharged after nursery care.
Methods
In this retrospective study, we reviewed medical records of 135 late preterm infants readmitted to the neonatal intensive care unit (NICU) during the neonatal period, after discharge from nursery of IL Sin Christian Hospital from January 2003 to December 2008. We compared the risk factors of the hospital readmission group with the control group.
Results
The gestational age and birth weight of 135 study infants were 36+1¡¾0.5 weeks and 2,718.4¡¾296.9 gm, respectively. Identified risk factors of hospital readmission were breastfeeding (71.9% vs. 44.4%), short duration of nursery stay (3.3¡¾1.6 days vs. 4.1¡¾2.0 days), firstborn (60.0% vs. 45.3%), and maternal pregnancy complication (31.9% vs. 18.8%). Jaundice accounted for the majority of hospital readmissions (83.7%), and the age at hospital readmission was 6.2¡¾3.6 postnatal days, mostly at 5-6 postnatal days (40.7%). Identified risk factors of hospital readmission due to jaundice were spontaneous normal vaginal delivery (43.4% vs. 1.8%), younger maternal age (29.8¡¾3.4 yrs vs. 32.1¡¾4.2 yrs), and lower maternal pregnancy complication (28.3% vs. 50%).
Conclusion
Identified risk factors of hospital readmission were breastfeeding, short duration of nursery stay, firstborn, and maternal pregnancy complication. Jaundice accounted for the majority of hospital readmissions, and the age at hospital readmission was 6.2¡¾3.6 postnatal days.
Key Words: Late, Preterm infant, Patient readmission


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