Document Detail


Premature infants born to adolescent mothers: health care utilization after initial discharge.
MedLine Citation:
PMID:  20816654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Kristin N Ray; Gabriel J Escobar; Scott A Lorch
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Academic pediatrics     Volume:  10     ISSN:  1876-2867     ISO Abbreviation:  Acad Pediatr     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-06     Completed Date:  2011-01-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101499145     Medline TA:  Acad Pediatr     Country:  United States    
Other Details:
Languages:  eng     Pagination:  302-8     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
Department of Pediatrics, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania 19104, USA. rayk@email.chop.edu
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MeSH Terms
Descriptor/Qualifier:
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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