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Use of Medical Resources by Preterm Infants Born at Less than 33 Weeks' Gestation Following Discharge from the Neonatal Intensive Care Unit in Korea.

DC Field Value Language
dc.contributor.authorLee, JH-
dc.contributor.authorChang, YS-
dc.contributor.authorCommittee on Data Collection and Statistical Analysis the Korean Society of Neonatology-
dc.date.accessioned2017-03-20T06:37:00Z-
dc.date.available2017-03-20T06:37:00Z-
dc.date.issued2015-
dc.identifier.issn1011-8934-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/13593-
dc.description.abstractThis study was aimed to provide data on the use of medical resources by preterm infants following discharge from the neonatal intensive care unit (NICU). The cohort included preterm infants (n=2,351) born at 22-32 weeks' gestation who were discharged from the NICUs of 44 Korean hospitals between April 2009 to March 2010. Mean duration of post-discharge follow-up was 425±237 days. After discharge from the NICU, 94.5% of total infants visited a pediatric outpatient clinic (11.5±9.8 mean visits), 42.9% visited a pediatric clinic for respiratory problems irregularly (4.9±6.6 mean visits), and 31.1% utilized emergency center at least once. Among all visits to the emergency center, 24.7% resulted in readmission and 50.8% of those visits were due to respiratory problems. At least one episode of readmission was required by 33.6% (788/2,346) of total infants, and 18.4% (431/2,346) of total infants were readmitted with respiratory problems at least once. Among all infants readmitted for respiratory problems, 16.2% (70/341) were diagnosed with respiratory syncytial virus infection which accounted for 30.3% of viral etiologies confirmed by laboratory testing. Infants born at <30 weeks' gestation had more frequent total readmission and respiratory readmission than those ≥30 weeks' gestation (2±1.7 vs. 1.7±1.2, P=0.009, 1.8±1.2 vs. 1.5±1.1, 0.027, respectively). Overall, use of medical resources is common, and respiratory problems are the leading cause of use of medical resources. Total readmissions and respiratory readmissions are more frequent in more immature infants.-
dc.language.isoen-
dc.subject.MESHCohort Studies-
dc.subject.MESHDatabases, Factual-
dc.subject.MESHEmergency Service, Hospital-
dc.subject.MESHFemale-
dc.subject.MESHFollow-Up Studies-
dc.subject.MESHGestational Age-
dc.subject.MESHHumans-
dc.subject.MESHInfant-
dc.subject.MESHInfant, Newborn-
dc.subject.MESHInfant, Premature-
dc.subject.MESHInfant, Premature, Diseases-
dc.subject.MESHIntensive Care Units, Neonatal-
dc.subject.MESHMale-
dc.subject.MESHPatient Readmission-
dc.subject.MESHRepublic of Korea-
dc.subject.MESHRespiratory Distress Syndrome, Newborn-
dc.subject.MESHRetrospective Studies-
dc.titleUse of Medical Resources by Preterm Infants Born at Less than 33 Weeks' Gestation Following Discharge from the Neonatal Intensive Care Unit in Korea.-
dc.typeArticle-
dc.identifier.pmid26566364-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC4641070/-
dc.contributor.affiliatedAuthor이, 장훈-
dc.type.localJournal Papers-
dc.identifier.doi10.3346/jkms.2015.30.S1.S95-
dc.citation.titleJournal of Korean medical science-
dc.citation.volume30 Suppl 1-
dc.citation.date2015-
dc.citation.startPageS95-
dc.citation.endPageS103-
dc.identifier.bibliographicCitationJournal of Korean medical science, 30 Suppl 1. : S95-S103, 2015-
dc.identifier.eissn1598-6357-
dc.relation.journalidJ010118934-
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Pediatrics & Adolescent Medicine
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