Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne

Tejas N Doctor, Efrant Harnaen, Bob Seith, Kenneth Tan, Simon Craig

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background Extremely preterm infants, < 28 week of gestational age, (ELGANs) continue to need high levels of health-care post-discharge from the NICU. We studied post-NICU hospital contacts of this highly vulnerable population and present data from infants treated in our health network. Method Retrospective cohort study of ELGANs treated at the tertiary NICU of Monash Health (2010-2013) and discharged within our network's catchment area. Demographics, inpatient, and outpatient information (initial NICU and subsequent admission up to 18 months of corrected age) were collated. Comparative analyses were performed for infants who were readmitted compared to those who were not. Results 41 of 76 (54%) infants required hospitalization with 92 admission episodes. 81 episodes were general pediatric ward admissions while 11 were to the PICU/HDU. Viral bronchiolitis was the leading cause for admissions. Meningitis in neonatal period was more common among patients who required hospital re-admission. Conclusions Ex-ELGAN required readmission primarily due to viral bronchiolitis. In our study population, neonatal meningitis was more common in patients who required post NICU discharge hospital re-admission.
Original languageEnglish
Article number028
Number of pages7
JournalInternational Journal of Pediatric Research
Volume3
Issue number1
DOIs
Publication statusPublished - 2017

Cite this

@article{1f845933060347df937fbda743ae563f,
title = "Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne",
abstract = "Background Extremely preterm infants, < 28 week of gestational age, (ELGANs) continue to need high levels of health-care post-discharge from the NICU. We studied post-NICU hospital contacts of this highly vulnerable population and present data from infants treated in our health network. Method Retrospective cohort study of ELGANs treated at the tertiary NICU of Monash Health (2010-2013) and discharged within our network's catchment area. Demographics, inpatient, and outpatient information (initial NICU and subsequent admission up to 18 months of corrected age) were collated. Comparative analyses were performed for infants who were readmitted compared to those who were not. Results 41 of 76 (54{\%}) infants required hospitalization with 92 admission episodes. 81 episodes were general pediatric ward admissions while 11 were to the PICU/HDU. Viral bronchiolitis was the leading cause for admissions. Meningitis in neonatal period was more common among patients who required hospital re-admission. Conclusions Ex-ELGAN required readmission primarily due to viral bronchiolitis. In our study population, neonatal meningitis was more common in patients who required post NICU discharge hospital re-admission.",
author = "Doctor, {Tejas N} and Efrant Harnaen and Bob Seith and Kenneth Tan and Simon Craig",
year = "2017",
doi = "10.23937/2469-5769/1510028",
language = "English",
volume = "3",
journal = "International Journal of Pediatric Research",
issn = "2469-5769",
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}

Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne. / Doctor, Tejas N; Harnaen, Efrant; Seith, Bob; Tan, Kenneth; Craig, Simon.

In: International Journal of Pediatric Research, Vol. 3, No. 1, 028, 2017.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne

AU - Doctor, Tejas N

AU - Harnaen, Efrant

AU - Seith, Bob

AU - Tan, Kenneth

AU - Craig, Simon

PY - 2017

Y1 - 2017

N2 - Background Extremely preterm infants, < 28 week of gestational age, (ELGANs) continue to need high levels of health-care post-discharge from the NICU. We studied post-NICU hospital contacts of this highly vulnerable population and present data from infants treated in our health network. Method Retrospective cohort study of ELGANs treated at the tertiary NICU of Monash Health (2010-2013) and discharged within our network's catchment area. Demographics, inpatient, and outpatient information (initial NICU and subsequent admission up to 18 months of corrected age) were collated. Comparative analyses were performed for infants who were readmitted compared to those who were not. Results 41 of 76 (54%) infants required hospitalization with 92 admission episodes. 81 episodes were general pediatric ward admissions while 11 were to the PICU/HDU. Viral bronchiolitis was the leading cause for admissions. Meningitis in neonatal period was more common among patients who required hospital re-admission. Conclusions Ex-ELGAN required readmission primarily due to viral bronchiolitis. In our study population, neonatal meningitis was more common in patients who required post NICU discharge hospital re-admission.

AB - Background Extremely preterm infants, < 28 week of gestational age, (ELGANs) continue to need high levels of health-care post-discharge from the NICU. We studied post-NICU hospital contacts of this highly vulnerable population and present data from infants treated in our health network. Method Retrospective cohort study of ELGANs treated at the tertiary NICU of Monash Health (2010-2013) and discharged within our network's catchment area. Demographics, inpatient, and outpatient information (initial NICU and subsequent admission up to 18 months of corrected age) were collated. Comparative analyses were performed for infants who were readmitted compared to those who were not. Results 41 of 76 (54%) infants required hospitalization with 92 admission episodes. 81 episodes were general pediatric ward admissions while 11 were to the PICU/HDU. Viral bronchiolitis was the leading cause for admissions. Meningitis in neonatal period was more common among patients who required hospital re-admission. Conclusions Ex-ELGAN required readmission primarily due to viral bronchiolitis. In our study population, neonatal meningitis was more common in patients who required post NICU discharge hospital re-admission.

U2 - 10.23937/2469-5769/1510028

DO - 10.23937/2469-5769/1510028

M3 - Article

VL - 3

JO - International Journal of Pediatric Research

JF - International Journal of Pediatric Research

SN - 2469-5769

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