Current status of unplanned readmission of neonates within 31 days after discharge from the neonatal intensive care unit and risk factors for readmission

ZHENG Qiao-Mu; HUA Wen-Zhe; ZHOU Jing-Xin; JIANG Li-Ping

doi:10.7499/j.issn.1008-8830.2109037

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Chinese Journal of Contemporary Pediatrics ›› 2022, Vol. 24 ›› Issue (3) : 314-318. DOI: 10.7499/j.issn.1008-8830.2109037

CLINICAL RESEARCH

Current status of unplanned readmission of neonates within 31 days after discharge from the neonatal intensive care unit and risk factors for readmission

ZHENG Qiao-Mu, HUA Wen-Zhe, ZHOU Jing-Xin, JIANG Li-Ping

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Abstract

Objective To investigate the current status of unplanned readmission of neonates within 31 days after discharge from the neonatal intensive care unit (NICU) and risk factors for readmission. Methods A retrospective analysis was performed on the medical data of 1 561 infants discharged from the NICU, among whom 52 infants who were readmitted within 31 days were enrolled as the case group, and 104 infants who were not readmitted after discharge during the same period of time were enrolled as the control group. Univariate analysis and multivariate logistic regression analysis were performed to identify the risk factors for readmission. Results Among the 1 561 infants, a total of 63 readmissions occurred in 52 infants, with a readmission rate of 3.33%. hyperbilirubinemia and pneumonia were the main causes for readmission, accounting for 29% (18/63) and 24% (15/63) respectively. The multivariate logistic regression analysis showed that that gestational age <28 weeks, birth weight <1 500 g, multiple pregnancy, mechanical ventilation, and length of hospital stay <7 days were risk factors for readmission (OR=5.645, 5.750, 3.044, 3.331, and 1.718 respectively, P<0.05). Conclusions Neonates have a relatively high risk of readmission after discharge from the NICU. The medical staff should pay attention to risk factors for readmission and formulate targeted intervention measures, so as to reduce readmission and improve the quality of medical service.

Key words

Neonatal intensive care unit / Unplanned readmission / Risk factor / Neonate

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ZHENG Qiao-Mu, HUA Wen-Zhe, ZHOU Jing-Xin, JIANG Li-Ping. Current status of unplanned readmission of neonates within 31 days after discharge from the neonatal intensive care unit and risk factors for readmission[J]. Chinese Journal of Contemporary Pediatrics. 2022, 24(3): 314-318 https://doi.org/10.7499/j.issn.1008-8830.2109037

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