Document Detail


Another outcome of neonatal intensive care: first year mortality and hospital morbidity.
MedLine Citation:
PMID:  7794616     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine first year mortality and hospital morbidity after neonatal intensive care. METHODOLOGY: Cohort study of 6077 surviving infants inborn in one regional hospital in 1988. Nine hundred and eighty-eight received neonatal intensive care and 103 were very low birthweight (VLBW). RESULTS: For infants who required care in the neonatal intensive care unit (NICU), the relative risk of dying before their first birthday was 3.6 (95% confidence intervals [CI] 1.5-8.8). This increased risk was associated with low birthweight (LBW) rather than requirement for NICU care. Of all inborn survivors, 10.4% were readmitted to hospital in the first year and 2.4% more than once. The readmission rate was 20% for NICU survivors and 30% for VLBW infants. The risk of hospitalization was independently associated both with NICU admission (odds ratio 2.3, CI 1.9-2.9) and with VLBW (OR 1.8, CI 1.1-3.0). The NICU survivors also had multiple admissions and prolonged hospital stays. CONCLUSIONS: Both low birthweight and neonatal illness requiring intensive care are important indicators of continuing medical vulnerability over the first year of life.
Authors:
G R Niven; J E Harding
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of paediatrics and child health     Volume:  31     ISSN:  1034-4810     ISO Abbreviation:  J Paediatr Child Health     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-08-03     Completed Date:  1995-08-03     Revised Date:  2007-09-24    
Medline Journal Info:
Nlm Unique ID:  9005421     Medline TA:  J Paediatr Child Health     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  137-42     Citation Subset:  IM    
Affiliation:
Department of Paediatrics, National Women's Hospital, University of Auckland, New Zealand.
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MeSH Terms
Descriptor/Qualifier:
Cause of Death
Chi-Square Distribution
Follow-Up Studies
Humans
Infant
Infant Mortality*
Infant, Low Birth Weight*
Infant, Newborn
Intensive Care, Neonatal / statistics & numerical data*
Length of Stay
Logistic Models
Morbidity
New Zealand / epidemiology
Odds Ratio
Patient Readmission
Survivors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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