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  • 标题:Gestational age and hospital utilization:three-years follow-up of an area-basedbirth cohort
  • 作者:Carlo Corchia ; Enrica Lapucci ; Francesco Franco
  • 期刊名称:Annali dell'Istituto Superiore di Sanita
  • 印刷版ISSN:0021-2571
  • 出版年度:2016
  • 卷号:52
  • 期号:4
  • 页码:543-549
  • DOI:10.4415/ANN_16_04_14
  • 出版社:Editrice Kurtis Srl
  • 摘要:Objective. To investigate differences by gestational age in emergency department visitsand re-hospitalizations during the three years following childbirth discharge.Methods. We performed a historical cohort study in Lazio Region, Italy, for infants bornin 2007-2008 to resident mothers. Health administrative data were used. Analysis wasperformed by multinomial logistic regression.Results. Of 90 545 infants, more than 50% had at least one emergency department visit,and 18.8% at least one re-hospitalization. After the exclusion of infants with congenitalanomalies, relative risk ratios of re-hospitalization and, to a lesser extent, of emergencydepartment visits increased by decreasing gestational age; the two events were also higherfor mothers ≤35 years of age, with low education and of Italian nationality. Residencyoutside the metropolitan area was associated with an increased risk of re-hospitalizationand a decreased risk of emergency department visits.Conclusion. During the three years following childbirth discharge, re-hospitalizationsand, to a lesser extent, emergency department use are inversely related to gestational ageat birth; socio-demographic factors have an effect on the risk of infant use of hospitalresources independent of gestational age.
  • 关键词:child care; gestational age; preterm birth; patient readmissions; emergency service; hospital
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