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Comparisons of Clinical Characteristics Affecting Readmission between Late Preterm Infants and Moderate Preterm Infants or Full-Term Infants

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Purpose: We aimed to describe the differences in clinical characteristics that affect readmission between late and moderate preterm or full-term infants. Methods: Medical records were reviewed for 881 patients with gestational ages of ≥31+0 weeks who were born at Inje University Sanggye Paik Hospital between1 Janu- ary 2013 and 20 September 2015. The patients were categorized into three subgroups as follows moderate preterm infants: those born at 31-33 weeks’ gestation (n=73), late preterm infants: those born at 34–36 weeks’ gestation (n=169),and full-term infants: those born at ≥37 weeks’ gestation (n=639). We compared the late and moderate preterm or full-term infants in terms of clinical characteristics that affect read- mission. Results: The readmission rate was 18.9% in the late preterm infants, 21.9% in the moderate preterm infants, and 16.7% in the full-term infants. The independent risk factors of readmission were gestational age in the late preterm infants, positive pres- sure ventilation at birth in the moderate preterm infants, and air-leak syndrome in the full-term infants. In addition, antenatal care at the first trimester of pregnancy was an independent protective factor against readmission in the full-term infants. Conclusion: Our results suggest that gestational age may affect the readmission rate of late preterm infants.

Abstract

Purpose: We aimed to describe the differences in clinical characteristics that affect readmission between late and moderate preterm or full-term infants. Methods: Medical records were reviewed for 881 patients with gestational ages of ≥31+0 weeks who were born at Inje University Sanggye Paik Hospital between1 Janu- ary 2013 and 20 September 2015. The patients were categorized into three subgroups as follows moderate preterm infants: those born at 31-33 weeks’ gestation (n=73), late preterm infants: those born at 34–36 weeks’ gestation (n=169),and full-term infants: those born at ≥37 weeks’ gestation (n=639). We compared the late and moderate preterm or full-term infants in terms of clinical characteristics that affect read- mission. Results: The readmission rate was 18.9% in the late preterm infants, 21.9% in the moderate preterm infants, and 16.7% in the full-term infants. The independent risk factors of readmission were gestational age in the late preterm infants, positive pres- sure ventilation at birth in the moderate preterm infants, and air-leak syndrome in the full-term infants. In addition, antenatal care at the first trimester of pregnancy was an independent protective factor against readmission in the full-term infants. Conclusion: Our results suggest that gestational age may affect the readmission rate of late preterm infants.

참고문헌 (33)

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