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Use of Medical Resources by Preterm Infants Born at Less than 33 Weeks' Gestation Following Discharge from the Neonatal Intensive Care Unit in Korea.

Lee JH, Chang YS, Committee on Data Collection and Statistical Analysis, the Korean Society of Neonatolo - J. Korean Med. Sci. (2015)

Bottom Line: Among all visits to the emergency center, 24.7% resulted in readmission and 50.8% of those visits were due to respiratory problems.Overall, use of medical resources is common, and respiratory problems are the leading cause of use of medical resources.Total readmissions and respiratory readmissions are more frequent in more immature infants.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.

ABSTRACT
This study was aimed to provide data on the use of medical resources by preterm infants following discharge from the neonatal intensive care unit (NICU). The cohort included preterm infants (n=2,351) born at 22-32 weeks' gestation who were discharged from the NICUs of 44 Korean hospitals between April 2009 to March 2010. Mean duration of post-discharge follow-up was 425±237 days. After discharge from the NICU, 94.5% of total infants visited a pediatric outpatient clinic (11.5±9.8 mean visits), 42.9% visited a pediatric clinic for respiratory problems irregularly (4.9±6.6 mean visits), and 31.1% utilized emergency center at least once. Among all visits to the emergency center, 24.7% resulted in readmission and 50.8% of those visits were due to respiratory problems. At least one episode of readmission was required by 33.6% (788/2,346) of total infants, and 18.4% (431/2,346) of total infants were readmitted with respiratory problems at least once. Among all infants readmitted for respiratory problems, 16.2% (70/341) were diagnosed with respiratory syncytial virus infection which accounted for 30.3% of viral etiologies confirmed by laboratory testing. Infants born at <30 weeks' gestation had more frequent total readmission and respiratory readmission than those ≥30 weeks' gestation (2±1.7 vs. 1.7±1.2, P=0.009, 1.8±1.2 vs. 1.5±1.1, 0.027, respectively). Overall, use of medical resources is common, and respiratory problems are the leading cause of use of medical resources. Total readmissions and respiratory readmissions are more frequent in more immature infants.

No MeSH data available.


Related in: MedlinePlus

Cumulative percent of follow-up duration of preterm infants after discharge from the neonatal intensive care unit (NICU). Mean value and standard deviation of the duration was 425±237 days.
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Figure 2: Cumulative percent of follow-up duration of preterm infants after discharge from the neonatal intensive care unit (NICU). Mean value and standard deviation of the duration was 425±237 days.

Mentions: The Committee on Data Collection and Statistical Analysis of the Korean Society of Neonatology chose 44 NICUs in Korea. Data collection was performed by the neonatologists of the 44 NICUs retrospectively, with chart review, on the basis of standard study formats and a manual defining the variables. All data were entered electronically into a central database during the study period between August and December 2011. Collected data were checked repeatedly for quality and completeness. Information with suspected errors or missing data was fed back to the neonatologists for verification. The mean value and SD of the follow-up duration of total infants after discharge from the NICU was 425±237 days. Cumulative percent of total infants according to follow-up duration after discharge from NICU is shown in Fig. 2. The database was created in collaboration with the Clinical Research Center of Samsung Medical Center on the basis of the electronic case reporting system of Oracle Korea (Oracle Corporation, Seoul, Korea). Data variables were composed of baseline characteristics; perinatal and neonatal characteristics such as major morbidities in NICU; visits to outpatient pediatric and other departmental clinics; visits to emergency centers; and readmission factors including cause of readmission, need for oxygen and ventilator support. Regular visits were defined as pre-scheduled visits for monitoring growth and development or vaccinations, and irregular visits were defined as non-scheduled visits for solving various health problems. Readmission was defined as readmission to any hospital when it was stated in the patient's medical records. Visits to emergency centers and outpatient clinics were confined to events at the participating hospital.


Use of Medical Resources by Preterm Infants Born at Less than 33 Weeks' Gestation Following Discharge from the Neonatal Intensive Care Unit in Korea.

Lee JH, Chang YS, Committee on Data Collection and Statistical Analysis, the Korean Society of Neonatolo - J. Korean Med. Sci. (2015)

Cumulative percent of follow-up duration of preterm infants after discharge from the neonatal intensive care unit (NICU). Mean value and standard deviation of the duration was 425±237 days.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4641070&req=5

Figure 2: Cumulative percent of follow-up duration of preterm infants after discharge from the neonatal intensive care unit (NICU). Mean value and standard deviation of the duration was 425±237 days.
Mentions: The Committee on Data Collection and Statistical Analysis of the Korean Society of Neonatology chose 44 NICUs in Korea. Data collection was performed by the neonatologists of the 44 NICUs retrospectively, with chart review, on the basis of standard study formats and a manual defining the variables. All data were entered electronically into a central database during the study period between August and December 2011. Collected data were checked repeatedly for quality and completeness. Information with suspected errors or missing data was fed back to the neonatologists for verification. The mean value and SD of the follow-up duration of total infants after discharge from the NICU was 425±237 days. Cumulative percent of total infants according to follow-up duration after discharge from NICU is shown in Fig. 2. The database was created in collaboration with the Clinical Research Center of Samsung Medical Center on the basis of the electronic case reporting system of Oracle Korea (Oracle Corporation, Seoul, Korea). Data variables were composed of baseline characteristics; perinatal and neonatal characteristics such as major morbidities in NICU; visits to outpatient pediatric and other departmental clinics; visits to emergency centers; and readmission factors including cause of readmission, need for oxygen and ventilator support. Regular visits were defined as pre-scheduled visits for monitoring growth and development or vaccinations, and irregular visits were defined as non-scheduled visits for solving various health problems. Readmission was defined as readmission to any hospital when it was stated in the patient's medical records. Visits to emergency centers and outpatient clinics were confined to events at the participating hospital.

Bottom Line: Among all visits to the emergency center, 24.7% resulted in readmission and 50.8% of those visits were due to respiratory problems.Overall, use of medical resources is common, and respiratory problems are the leading cause of use of medical resources.Total readmissions and respiratory readmissions are more frequent in more immature infants.

View Article: PubMed Central - PubMed

Affiliation: Department of Pediatrics, Ajou University School of Medicine, Suwon, Korea.

ABSTRACT
This study was aimed to provide data on the use of medical resources by preterm infants following discharge from the neonatal intensive care unit (NICU). The cohort included preterm infants (n=2,351) born at 22-32 weeks' gestation who were discharged from the NICUs of 44 Korean hospitals between April 2009 to March 2010. Mean duration of post-discharge follow-up was 425±237 days. After discharge from the NICU, 94.5% of total infants visited a pediatric outpatient clinic (11.5±9.8 mean visits), 42.9% visited a pediatric clinic for respiratory problems irregularly (4.9±6.6 mean visits), and 31.1% utilized emergency center at least once. Among all visits to the emergency center, 24.7% resulted in readmission and 50.8% of those visits were due to respiratory problems. At least one episode of readmission was required by 33.6% (788/2,346) of total infants, and 18.4% (431/2,346) of total infants were readmitted with respiratory problems at least once. Among all infants readmitted for respiratory problems, 16.2% (70/341) were diagnosed with respiratory syncytial virus infection which accounted for 30.3% of viral etiologies confirmed by laboratory testing. Infants born at <30 weeks' gestation had more frequent total readmission and respiratory readmission than those ≥30 weeks' gestation (2±1.7 vs. 1.7±1.2, P=0.009, 1.8±1.2 vs. 1.5±1.1, 0.027, respectively). Overall, use of medical resources is common, and respiratory problems are the leading cause of use of medical resources. Total readmissions and respiratory readmissions are more frequent in more immature infants.

No MeSH data available.


Related in: MedlinePlus