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极低出生体重儿再入院的相关因素:过渡性家庭支持和教育项目的效果

Factors associated with rehospitalizations of very low birthweight infants: Impact of a transition home support and education program
2012-07-25 16:54点击:79次发表评论
作者:" Betty R. Vohra, b, Corresponding author conta 【View at publisher】 【全球专家评论】
期刊: EARLY HUM DEV2012年1月7期88卷 专家评级:★★ 循证评级:A

Objective:

To determine the effects of a transition-home education and support program, BPD, and health insurance type on VLBW infant rehospitalizations at 3 and 7months corrected age. It was hypothesized that the transition-home program would be associated with decreased rehospitalizations between Phase 1 and 2, and public health insurance and BPD would be associated with increased rehospitalizations.

Methods:

274 infants with birth weight<1500g were enrolled in two successive years of a transition-home program (Phase 1—start-up) and (Phase 2—full implementation) and followed to 7months CA.

Results:

The Phase 2 rehospitalization rates were lower but not statistically significant at both 3months (20% and 15%; p=0.246), and 7months (24% and 17%; p=0.171). Infants with public insurance had twice as many rehospitalizations by 3months (28% versus 11%; p=0.018) in Phase 1. In regression analyses the intervention effects did not achieve significance for the cohort at 3months (OR=0.63; CI=0.33 to 1.20) or 7months (OR=0.61; CI=0.33 to 1.13). BPD and public insurance did not reach significance in the models whereas siblings were significantly associated with increased odds of rehospitalization. In subgroup analyses for infants on pubic health insurance the intervention significantly decreased the odds of rehospitalization between Phase 1 and 2(OR=0.43; CI=0.19 to 0.96) at 3months.

Conclusions:

Our findings suggest that a transition-home program may be beneficial to reduce the rehospitalization rate for VLBW infants, and infants on public insurance may derive greater benefit.

学科代码:妇产科学 儿科学 其他   关键词:极低出生体重儿再入院的相关因素:过渡性家庭支持和教育项目的效
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