본문 바로가기
KERD
논문KCI 등재

The Readmission of Preterm Infants of 30-33 Weeks Gestational Age within 1 Year Following Discharge from Neonatal Intensive Care Unit in Korea

김천수|진현승|김영돈|안소윤|장미영|이순민|임재우|황종희|장윤실|김묘징|송은송|이우령|이장훈
대한신생아학회 (THE KOREAN SOCIETY OF NEONATOLOGY)|2014.11|Neonatal medicine|제21권 제4호|pp. 224-232

2

조회

0

다운로드

2

인용

0

참고문헌

키워드

PrematureReadmissionRespiratory syncytial virusnfants

초록

Purpose: This study was conducted to evaluate the readmission rate of preterminfants of 30-33 weeks gestational age (GA) within 1 year following discharge fromthe neonatal intensive care unit (NICU). Methods: This research was a part of the Retrospective Study to Evaluate Rehospitalization& Health Care Utilization after NICU Discharge in Preterm Infants (≤33weeks) II (RHANPI II) project conducted by the Committee on Data Collection andStatistical Analysis of the Korean Society of Neonatology. Enrolled infants (n=1,257)of 46 hospitals from April to September 2012, were retrospectively studied. Results: The average GA and birth weight of the study population was 32+2±1+1 weeksand 1,785±386 g, respectively. The cumulative readmission rate during the 360 daysfollowing discharge from the NICU was 27.3%. The cumulative readmission rateaccording to GA was 36.4%, 30.1%, 25.9% and 22.7% for infants born at 30, 31, 32 and33 weeks GA, respectively. The corresponding respiratory readmission rate was16.3%; this was 59.8% of total readmissions. There was no significant difference in therespiratory readmission rate according to GA group (log-rank test for trend, P-value=0.0558). Of the infants who were readmitted with respiratory problems, 57.0% (n=53/93) tested positive for respiratory syncytial virus (RSV). Conclusion: The cumulative readmission rate during the 360 days followingdischarge from the NICU was 27.3%. Respiratory problems were the most commoncause of readmission, and RSV was the most common virus associated with respiratoryreadmission. Additionally, there was no difference in the rate of respiratoryreadmission according to GA group.

Abstract

Purpose: This study was conducted to evaluate the readmission rate of preterminfants of 30-33 weeks gestational age (GA) within 1 year following discharge fromthe neonatal intensive care unit (NICU). Methods: This research was a part of the Retrospective Study to Evaluate Rehospitalization& Health Care Utilization after NICU Discharge in Preterm Infants (≤33weeks) II (RHANPI II) project conducted by the Committee on Data Collection andStatistical Analysis of the Korean Society of Neonatology. Enrolled infants (n=1,257)of 46 hospitals from April to September 2012, were retrospectively studied. Results: The average GA and birth weight of the study population was 32+2±1+1 weeksand 1,785±386 g, respectively. The cumulative readmission rate during the 360 daysfollowing discharge from the NICU was 27.3%. The cumulative readmission rateaccording to GA was 36.4%, 30.1%, 25.9% and 22.7% for infants born at 30, 31, 32 and33 weeks GA, respectively. The corresponding respiratory readmission rate was16.3%; this was 59.8% of total readmissions. There was no significant difference in therespiratory readmission rate according to GA group (log-rank test for trend, P-value=0.0558). Of the infants who were readmitted with respiratory problems, 57.0% (n=53/93) tested positive for respiratory syncytial virus (RSV). Conclusion: The cumulative readmission rate during the 360 days followingdischarge from the NICU was 27.3%. Respiratory problems were the most commoncause of readmission, and RSV was the most common virus associated with respiratoryreadmission. Additionally, there was no difference in the rate of respiratoryreadmission according to GA group.

참고문헌 (38)

  1. Chien YH, "Rehospitalization of extremely-low-birth-weight infants in first 2 years of life", Early Hum Dev, 66, pp.33~40 (2002)
  2. McCormick MC, "Rehospitalization in the first year of life for high-risk survivors", Pediatrics, 66, pp.991~999 (1980)
  3. Morris BH, "Rehospitalization of extremely low birth weight (ELBW) infants: are there racial", ethnic disparities?, 2005, pp.25, 656~663
  4. Lamarche-Vadel A, "Re-hospitalization in infants younger than 29 weeks' gestation in the EPIPAGE cohort", Acta Paediatr, 93, pp.1340~1345 (2004)
  5. Hack M, "Rehospitalization of the very-low-birth-weight infant. A continuum of perinatal and environmental morbidity", Am J Dis Child, 135, pp.263~266 (1981)
  6. Elder DE, "Hospital admissions in the first year of life in very preterm infants", J Paediatr Child Health, 35, pp.145~150 (1999)
  7. Heilman CA, "From the National Institute of Allergy and Infectious Diseases and the World Health Organization. Respiratory syncytial and parainfluenza viruses", J Infect Dis, 161, pp.402~406 (1990)
  8. Groothuis JR, "Respiratory syncytial virus (RSV) infection in preterm infants and the protective effects of RSV immune globulin (RSVIG). Respiratory Syncytial Virus Immune Globulin Study Group", Pediatrics, 95, pp.463~467 (1995)
  9. The PREVENT Study Group, "Reduction of respiratory syncytial virus hospitalization among premature infants and infants with bronchopulmonary dysplasia using respiratory syncytial virus immune globulin prophylaxis", Pediatrics, 99, pp.93~99 (1997)
  10. The IMpact-RSV Study Group, "Palivizumab, a humanized respiratory syncytial virus monoclonal antibody, reduces hospitalization from respiratory syncytial virus infection in high-risk infants", Pediatrics, 102, pp.531~537 (1998)
  11. Joffe S, "Rehospitalization for respiratory syncytial virus among premature infants", Pediatrics, 104, pp.894~899 (1999)
  12. Wang EE, "Pediatric Investigators Collaborative Network on Infections in Canada (PICNIC) prospective study of risk factors and outcomes in patients hospitalized with respiratory syncytial viral lower respiratory tract infection", J Pediatr, 126, pp.212~219 (1995)
  13. Reiff MI, "Adolescent school failure: failure to thrive in adolescence", Pediatr Rev, 19, pp.199~207 (1998)
  14. Bont L, "Prophylaxis against respiratory syncytial virus in premature infants", Lancet, 354, pp.1003~1004 (1999)
  15. Roeckl-Wiedmann I, "Economic evaluation of possible prevention of RSV-related hospitalizations in premature infants in Germany", Eur J Pediatr, 162, pp.237~244 (2003)
  16. Carbonell Estrany X, "Recommendations for the prevention of respiratory syncytial virus infections. Standards Committee of the Spanish Society of Neonatology. Board of Directors of the Spanish Society of Neonatology", An Esp Pediatr, 52, pp.372~374 (2000)
  17. Feltes TF, "Palivizumab prophylaxis reduces hospitalization due to respiratory syncytial virus in young children with hemodynamically significant congenital heart disease", J Pediatr, 143, pp.532~540 (2003)
  18. Simoes EA, "Respiratory syncytial virus prophylaxis--the story so far", Respir Med, 96, pp.S15~S24 (2002)
  19. Simoes EA, "Immunoprophylaxis of respiratory syncytial virus:global experience", Respir Res, 3, pp.S26~S33 (2002)
  20. Korvenranta E, "Morbidities and hospital resource use during the first 3 years of life among very preterm infants", Pediatrics, 124, pp.128~134 (2009)
  21. Landry JS, "Health care utilization by preterm infants with respiratory complications in Quebec", Can Respir J, 19, pp.255~260 (2012)
  22. Kuzniewicz MW, "Hospital readmissions and emergency department visits in Canadian respiratory journal : journal of the Canadian Thoracic Society moderate preterm, late preterm, and early term infants", Clin Perinatol, 40, pp.753~775 (2013)
  23. Mourani PM, "Intensive care unit readmission during childhood after preterm birth with respiratory failure", J Pediatr, 164, pp.749e3~755e3 (2014)
  24. Shennan AT, "Abnormal pulmonary outcomes in premature infants: prediction from oxygen requirement in the neonatal period", Pediatrics, 82, pp.527~532 (1988)
  25. Walsh MC, "Necrotizing enterocolitis: treatment based on staging criteria", Pediatr Clin North Am, 33, pp.179~201 (1986)
  26. Papile LA, "Incidence and evolution of subependymal and intraventricular hemorrhage:a study of infants with birth weights less than 1,500 gm", J Pediatr, 92, pp.529~534 (1978)
  27. Garner JS, "CDC definitions for nosocomial infections, 1988", Am J Infect Control, 16, pp.128~140 (1988)
  28. The survey on the actual conditions of neonatal intensive care units and analysis of survival rate of high-risk newborn infants. 2010 Report of Management Center for Health Promotion 2010, "Chang YS", The Korean Society of Neonatology, ~ (2010)
  29. Kramer MS, "The contribution of mild and moderate preterm birth to infant mortality. Fetal and Infant Health Study Group of the Canadian Perinatal Surveillance System", JAMA, 284, pp.843~849 (2000)
  30. Yoder BA, "Late-preterm birth: does the changing obstetric paradigm alter the epidemiology of respiratory complications?", Obstet Gynecol, 111, pp.814~822 (2008)
  31. Wang ML, "Clinical outcomes of near-term infants", Pediatrics, 114, pp.372~376 (2004)
  32. Escobar GJ, "Unstudied infants: outcomes of moderately premature infants in the neonatal intensive care unit", Arch Dis Child Fetal Neonatal Ed, 91, pp.F238~F244 (2006)
  33. Underwood MA, "Cost, causes and rates of rehospitalization of preterm infants", J Perinatol, 27, pp.614~619 (2007)
  34. Ralser E, "Rehospitalization in the first 2 years of life in children born preterm", Acta Paediatr, 101, pp.e1~e5 (2012)
  35. Kim SJ, "Rehospitalization of very low birth weight infants in the first year after discharge from NICU and risk factor of rehospitalization caused by respiratory illness", J Korean Soc Neonatol, 13, pp.17~23 (2006)
  36. Paes B, "A comparative study of respiratory syncytial virus (RSV) prophylaxis in premature infants within the Canadian Registry of Palivizumab (CARESS)", Eur J Clin Microbiol Infect Dis, 31, pp.2703~2711 (2012)
  37. Park HW, "Epidemiology of respiratory syncytial virus infection in infants born at less than thirty-five weeks of gestational age", Pediatr Infect Dis J, 31, pp.e99~e104 (2012)
  38. 박규희, "2008-2011년 한국 수도권에서 60개월 미만 하기도 감염 소아에 서의 respiratory syncytial virus 감염의 계절적 변동", Neonatal medicine, 19(4), pp.195~203 (2012), 대한신생아학회

관련 논문AI추천

Hospital Visits from Respiratory Diseases of Early and Late Preterm Infants이주영, 전용훈, Sangmi Park, Soo Kyung Nam대한신생아학회 · Neonatal medicine2018 · 제25권 제3호Comparisons of Clinical Characteristics Affecting Readmission between Late Preterm Infants and Moderate Preterm Infants or Full-Term InfantsGyu Hong Shim, Jae Seok Shin, Myoung Jae Chey, Yong Hee Lee, Yu Bin Kim대한신생아학회 · Neonatal medicine2016 · 제23권 제4호전기 조산아, 만삭아와 비교한 후기 조산아의 생후 1년간 호흡기 질환 이환율김문주, 김성근, 김성미, 김성원, 김창훈, 오재민, 이나영, 최상윤대한신생아학회 · Neonatal medicine2012 · 제19권 제4호신생아중환자실 입원자의 퇴원 후 재입원의 빈도와 의료비용김기수, 김병일, 배종우, 신손문, 심계식, 이상락, 임백근, 최영륜, 한원호대한신생아학회 · Neonatal medicine2010 · 제17권 제1호Clinical Features of Respiratory Syncytial Virus Infection in Neonates: A Single Center StudyGwang Cheon Jang, Shin Won Yoon, Sung Hui Chang대한신생아학회 · Neonatal medicine2018 · 제25권 제4호기관지폐이형성증을 가진 미숙아 환아에서 하기도 호흡기감염의 임상 양상김세진, 이나현, 최희정대한 소아알레르기 호흡기학회 · Allergy Asthma & Respiratory Disease2017 · 제5권 제2호

이 간행물의 다른 논문 (9건)

Comparison of Neonatal and Infant Mortality Rates between Infants Born in South Korea and Those Born in the United States이지선, 배종우, 전은정, 임재우, 윤정민, 박창기, 심재원, 고경옥pp. 211-217Morbidity of Low Birth Weight Infants in Korea (2012): A Comparison with Japan and the USA배종우, 최용성, 정성훈, 김태형, 최미숙pp. 218-223Clinical Outcome of Infants Who Underwent Tracheostomy in Neonatal Intensive Care Unit: 16 years’ Experience in a Single Center박가영, 전지영, 김대균, 성세인, 박원순, 윤시내, 최수영, 장윤실, 유혜수pp. 233-237Timing of Liberation from Ventilation Assistance and Decannulation in Preterm Infants with Bronchopulmonary Dysplasia after Tracheostomy김새윤, 최정윤, 정영화, 신승한, 김혜림, 김이경, 김한석, 최정환, 이병국, 허주선pp. 238-243Continuous Renal Replacement Therapy in the Neonatal Intensive Care Unit: A Single Center Study오문연, 이주훈, 박영서, 김기수, 김애란, 유한욱, 도현정, 장희진, 오성희, 이병섭, 이범희pp. 244-250
원문 보기