Abstract

Aim of the study: To evaluate if the readmission rates of newborns treated in our unit has been affected by the introduction of new protocols. Materials and Methods: two groups were compared: Group A: newborns readmitted during the period from January 2010 to May 2011, Group B: newborns readmitted during the period from June 2011 until December 2012. Epidemiological data and settings of rehospitalization were collected on a standardized form, the reasons for rehospitalization, and evolution. Results: 105 were readmitted during the first four months of life , the rate of readmission was 1.8%. The difference is not significant between the two periods. The main reasons for readmission are nosocomial infection in 77% and 65% of premature groups A and B respectively, feeding difficulties with dehydration and weight loss, and viral infections in 31% and 21% of premature groups A and B respectively. The death rate was reduced in premature infants in group B (5.8%) compared to preterms of group A (23%). Conclusion: In our study the introduction of a new protocol support has a considerable gain in the number of patients treated, and the mortality reduction without affecting the rates of rehospitalisation.

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