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April 1994, Vol 148, No. 4 >
Article | April 1994

Birth Weight and Hospital Readmission of Infants Born Prematurely FREE

Bülend Yüksel, MD, DCH; Anne Greenough, MD, FRCP, DCH
Arch Pediatr Adolesc Med. 1994;148(4):384-388. doi:10.1001/archpedi.1994.02170040050008.
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Objective:  To determine whether the hospital readmission rate of infants born prematurely was greatest in those whose birth weight was less than 750 g.

Design:  A prospective cohort study.

Setting:  Regional neonatal intensive care unit.

Patients:  Consecutive very-low-birth-weight (<1500 g) infants admitted to the neonatal intensive care unit; infants with congenital abnormalities were excluded. Two-year follow-up was completed for 109 (90.8%) of these patients.

Measurements/Main Results:  Following discharge from the neonatal intensive care unit, infants were seen at 6-month intervals at which time a detailed history was taken and examinations were performed. Hospital admissions were documented and confirmed from the medical records. Infants with birth weights of less than 750 g and those of very-low gestational age (≤28 weeks) made up the greatest number of admissions and had the longest hospital stays. In the first year of life, the duration of stay was inversely related to birth weight.

Conclusion:  Increased survival of extremely low-birth-weight infants has important implications for resource allocation of pediatric beds.(Arch Pediatr Adolesc Med. 1994;148:384-388)

REFERENCES

1 +
Bowman E, Yu VY.  Continuing morbidity in extremely low birthweight infants . Early Hum Dev . 1988;:18:165-174.
2 +
Lindroth M, Mortensson W.  Long-term follow-up of ventilator-treated low birth-weight infants, I: chest x-ray, pulmonary mechanics, clinical lung disease and growth . Acta Paediatr Scand . 1986;;75:819-826.
3 +
Greenough A, Maconochie I, Yuksel B.  Recurrent respiratory symptoms in the first year of life . J Perinat Med . 1990;;18:489-494.
4 +
Greenough A, Roberton NR.  Morbidity and survival in neonates ventilated for the respiratory distress syndrome . BMJ . 1985;;290:597-600.
5 +
Hoffman EL, Bennett FC.  Birthweight less than 800 grams: changing outcomes and influences of gender and gestation number . Pediatrics . 1990;;86:27-34.
6 +
Chan V, Greenough A, Gamsu HR.  Neonatal complications of mechanical ventilation in extremely preterm infants . Eur J Pediatr . 1992;;151:693-696.
7 +
Markestad T, Fitzhardinge PM.  Growth and development in children recovering from bronchopulmonary dysplasia . J Pediatr . 1981;;98:597-602.
8 +
Sauve RS, Singhal N.  Long-term morbidity of infants with bronchopulmonary dysplasia . Pediatrics . 1985;;76:725-733.
9 +
Hack M, DeMonterice D, Merkatz IR, Jones P, Fanaroff AA.  Re-hospitalization of the very-low-birth-weight infant . AJDC . 1981;;135:263-266.
10 +
Northway WH, Rosan RC. Porter DY.  Pulmonary disease following respirator therapy of hyaline membrane disease . N Engl J Med . 1967;;267:357-367.
11 +
Cunningham CK, McMillan JA, Gross SJ.  Rehospitalization for respiratory illness in infants of less than 32 weeks' gestation . Pediatrics . 1991;;88:527-532.
12 +
Shankaran S, Szego E, Eizert D, Siegel P.  Severe bronchopulmonary dysplasia: predictors of survival and outcome . Chest . 1984;;86:607-610.
13 +
Yuksel B, Greenough A.  Acute deteriorations in neonatal chronic lung disease . Eur J Pediatr . 1992;;151:697-700.
14 +
Mutch L, Ashurst H, MacFarlane A.  Birthweight and hospital admission before the age of 2 years . Arch Dis Child . 1992;;67:900-904.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Bowman E, Yu VY.  Continuing morbidity in extremely low birthweight infants . Early Hum Dev . 1988;:18:165-174.
2 +
Lindroth M, Mortensson W.  Long-term follow-up of ventilator-treated low birth-weight infants, I: chest x-ray, pulmonary mechanics, clinical lung disease and growth . Acta Paediatr Scand . 1986;;75:819-826.
3 +
Greenough A, Maconochie I, Yuksel B.  Recurrent respiratory symptoms in the first year of life . J Perinat Med . 1990;;18:489-494.
4 +
Greenough A, Roberton NR.  Morbidity and survival in neonates ventilated for the respiratory distress syndrome . BMJ . 1985;;290:597-600.
5 +
Hoffman EL, Bennett FC.  Birthweight less than 800 grams: changing outcomes and influences of gender and gestation number . Pediatrics . 1990;;86:27-34.
6 +
Chan V, Greenough A, Gamsu HR.  Neonatal complications of mechanical ventilation in extremely preterm infants . Eur J Pediatr . 1992;;151:693-696.
7 +
Markestad T, Fitzhardinge PM.  Growth and development in children recovering from bronchopulmonary dysplasia . J Pediatr . 1981;;98:597-602.
8 +
Sauve RS, Singhal N.  Long-term morbidity of infants with bronchopulmonary dysplasia . Pediatrics . 1985;;76:725-733.
9 +
Hack M, DeMonterice D, Merkatz IR, Jones P, Fanaroff AA.  Re-hospitalization of the very-low-birth-weight infant . AJDC . 1981;;135:263-266.
10 +
Northway WH, Rosan RC. Porter DY.  Pulmonary disease following respirator therapy of hyaline membrane disease . N Engl J Med . 1967;;267:357-367.
11 +
Cunningham CK, McMillan JA, Gross SJ.  Rehospitalization for respiratory illness in infants of less than 32 weeks' gestation . Pediatrics . 1991;;88:527-532.
12 +
Shankaran S, Szego E, Eizert D, Siegel P.  Severe bronchopulmonary dysplasia: predictors of survival and outcome . Chest . 1984;;86:607-610.
13 +
Yuksel B, Greenough A.  Acute deteriorations in neonatal chronic lung disease . Eur J Pediatr . 1992;;151:697-700.
14 +
Mutch L, Ashurst H, MacFarlane A.  Birthweight and hospital admission before the age of 2 years . Arch Dis Child . 1992;;67:900-904.

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