OBJECTIVE:The present study was conducted prospectively to determine i) the length of postnatal hospital stay of healthy newborns and determine the factors facilitating their early discharge (< 48 h) and ii) the frequency and causes of re-hospitalization following early discharge, in a tertiary care hospital. METHODS:Length of hospital stay was recorded for healthy newborns. Factors facilitating Early discharge were determined by both univariate and multivariate (multiple logistic regression) analyses. Of all newborns discharged within 48 h, every third case was called for a follow-up visit 72 hrs later and examined for any medical problem and need of re-hospitalization. RESULTS:A total of 1134 babies were enrolled, of which 861 (76.2%) were discharged at or before 48 hours. The overall mean (SD) length of hospital stay was 46.4 (45.8) h. Factors contributing to early discharge included vaginal delivery (RR: 30.2; 95% CI: 19.0, 47.9; P<0.001), absence of pre-existing maternal disease or obstetric complication (RR: 4.32; 95% CI: 2.27, 8.22; P < 0.001), and birth weight of > 2.5 kg (RR: 1.91; 95% CI: 1.27, 2.89; P = 0.002). Of the 280 neonates called for follow-up, 193 reported. Of these, 61 (31.6%) were normal. Neonatal jaundice was the most frequent problem seen in 105 (54.4%) children on follow-up. Only 16 (8.3%) newborns needed re-hospitalization; the most common indication being neonatal jaundice (n=9). CONCLUSION:Most of the children in our set-up are being discharged within 48 hrs. Early discharge is governed primarily by maternal indications. A follow-up visit after 72 hr is important to assess the need of re-hospitalization in healthy newborns discharged within 48 hrs of birth.

译文

目的:本研究是前瞻性进行的,以确定i)健康新生儿的产后住院时间,并确定有助于其早期出院(<48 h)的因素,以及ii)早期出院后再次住院的频率和原因。三级医院。
方法:记录健康新生儿的住院时间。通过单因素和多因素(多元逻辑回归)分析确定促进早期出院的因素。在48小时内出院的所有新生儿中,每隔72小时便要求进行第三次随访,并检查是否存在任何医疗问题以及是否需要重新住院。
结果:总共招募了1134名婴儿,其中861名(76.2%)在48小时或之前出院。住院的总平均(SD)时间为46.4(45.8)h。导致早期出院的因素包括阴道分娩(RR:30.2; 95%CI:19.0,47.9; P <0.001),不存在既有的母体疾病或产科并发症(RR:4.32; 95%CI:2.27,8.22; P <0.001)和出生体重> 2.5千克(RR:1.91; 95%CI:1.27,2.89; P = 0.002)。在280名需要随访的新生儿中,有193例被报道。其中61例(31.6%)是正常的。新生儿黄疸是105例(54.4%)接受随访的儿童中最常见的问题。只有16名(8.3%)新生儿需要重新住院治疗;最常见的适应症是新生儿黄疸(n = 9)。
结论:我们机构中的大多数儿童在48小时内出院。早期出院主要由孕产妇适应证决定。 72小时后的随访对评估出生后48小时内出院的健康新生儿是否需要重新住院非常重要。

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