Epidemiology of readmissions in early infancy following nonelective cesarean delivery.
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
01 2021
01 2021
Historique:
received:
20
02
2020
accepted:
07
07
2020
revised:
05
06
2020
pubmed:
17
7
2020
medline:
1
9
2021
entrez:
17
7
2020
Statut:
ppublish
Résumé
Determine incidence and risk factors for readmissions in early infancy. Secondary analysis of data from the Cesarean Section Optimal Antibiotic Prophylaxis trial. All unplanned revisits (unplanned clinic, ER visits, and hospital readmissions) and hospital readmissions (initial discharge to 3-month follow-up) were analyzed. 295 (15.9%) of 1850 infants had revisits with risk factors being ethnicity (adjusted odds ratio (aOR): 0.6 for Hispanic), maternal postpartum antibiotics (1.89), azithromycin treatment (1.22), small for gestational age (1.68), apnea (3.82), and hospital stay after birth >90th percentile (0.49). 71 (3.8%) of 1850 infants were readmitted with risk factors being antenatal steroids (aOR 2.49), elective repeat C/section (0.72), postpartum maternal antibiotics (2.22), O Multiple risk factors were identified, suggesting potential impact on the neonatal microbiome (maternal postpartum antibiotics) or issues related to access/cost of care (Hispanic ethnicity associated with fewer revisits).
Identifiants
pubmed: 32669643
doi: 10.1038/s41372-020-0730-1
pii: 10.1038/s41372-020-0730-1
pmc: PMC7854783
mid: NIHMS1610323
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
24-31Subventions
Organisme : NICHD NIH HHS
ID : R01 HD064729
Pays : United States
Investigateurs
Rachel LeDuke
(R)
Janatha Grant
(J)
Lee Ann Merin
(LA)
Marci Tew
(M)
Gloria Adam
(G)
Zhara Rahman
(Z)
Rebecca Quinn
(R)
Yukiko Nakamura Orange
(YN)
Christopher Parks
(C)
Richard Mailhot
(R)
Robin Steele
(R)
Sue Cliver
(S)
Ashutosh Tamhane
(A)
Karen Dorman
(K)
Linda Manor
(L)
Sue Pope
(S)
Carmen Beamon
(C)
Beth Morgan
(B)
Ester Godbold
(E)
Cecelia Recabarren
(C)
Maria Bahena
(M)
Brenda Aguillon
(B)
Virginia Huaracha
(V)
Maria Wilson-Jimenez
(M)
Lisa Garcia
(L)
Masoomeh Ehsani
(M)
Sa Tran
(S)
Christine Servay
(C)
Barbara Conley
(B)
Pat Pandya
(P)
Elaine Lofland
(E)
Kim Potthoff
(K)
Vanessa Johnson
(V)
Kedra Wallace
(K)
James N Martin
(JN)
Richard Ogletree
(R)
Michael Varner
(M)
Shanna Salmon
(S)
Suzanne Timothy
(S)
Amber Sowles
(A)
Kim Hill
(K)
Winter Redd
(W)
Amanda Behunin
(A)
Sandi Dellerman
(S)
Michael Nunley
(M)
Richard Cox
(R)
Melissa Hofer
(M)
Caroline Torres
(C)
Connie Eng
(C)
M Hutchison
(M)
Paula Givens
(P)
Felecia Ortiz
(F)
Vu Ta
(V)
Christine Wong
(C)
Michael George
(M)
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