| Premature infants born to adolescent mothers: health care utilization after initial discharge. | |
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MedLine Citation:
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PMID: 20816654 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: Premature infants have increased health care utilization after initial discharge compared with term infants. Young maternal age has been shown to impact health care utilization among term infants, but little is known about the impact of maternal age on health care utilization among premature infants. We compared health care utilization among premature infants of adolescent (aged < or = 19 years) and young adult (aged 20-29 years) mothers, hypothesizing that premature infants of adolescent mothers would have increased acute care utilization, while having decreased preventive care utilization. METHODS: In this retrospective cohort study, we analyzed health care utilization of premature infants born to adolescent mothers (n = 76) compared with premature infants born to young adult mothers (n = 587) within a cohort of premature infants born between 1998 and 2001 in an integrated health care delivery system. RESULTS: After controlling for illness severity, premature infants born to adolescent mothers had significantly increased odds of medical rehospitalizations (odds ratio 3.57, 95% confidence interval, 1.81-7.05) and emergency department visits (odds ratio 3.67, 95% confidence interval, 2.11-6.39) during the first year after initial discharge compared with premature infants born to young adult mothers. Differences in rehospitalization rates were significant within the first 3 months after discharge (P < .001). Frequency of preventive care visits was not significantly different between the two groups. CONCLUSIONS: Despite similar severity of chronic illness and similar preventive care utilization, premature infants born to adolescent mothers had significantly increased rates of rehospitalizations and emergency department visits compared with premature infants born to young adult mothers. |
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Authors:
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Kristin N Ray; Gabriel J Escobar; Scott A Lorch |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Academic pediatrics Volume: 10 ISSN: 1876-2867 ISO Abbreviation: Acad Pediatr Publication Date: 2010 Sep-Oct |
Date Detail:
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Created Date: 2010-09-06 Completed Date: 2011-01-07 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101499145 Medline TA: Acad Pediatr Country: United States |
Other Details:
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Languages: eng Pagination: 302-8 Citation Subset: IM |
Copyright Information:
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Copyright 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved. |
Affiliation:
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Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. rayk@email.chop.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Emergency Service, Hospital / utilization Female Health Services / utilization* Humans Infant, Newborn Infant, Premature International Classification of Diseases Logistic Models Patient Readmission / statistics & numerical data Pregnancy Pregnancy in Adolescence Retrospective Studies Severity of Illness Index Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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