Risk Factors for Hospital Readmission and Follow Up after NICU Discharge of Infants Born at Extremely Low Gestational Age in Metropolitan Melbourne
Journal Title: International Journal of Pediatric Research - Year 2017, Vol 3, Issue 1
Abstract
Background Extremely preterm infants, < 28 week of gestational age, (ELGANs) continue to need high levels of health-care post-discharge from the NICU. We studied post-NICU hospital contacts of this highly vulnerable population and present data from infants treated in our health network. Method Retrospective cohort study of ELGANs treated at the tertiary NICU of Monash Health (2010-2013) and discharged within our network's catchment area. Demographics, inpatient, and outpatient information (initial NICU and subsequent admission up to 18 months of corrected age) were collated. Comparative analyses were performed for infants who were readmitted compared to those who were not. Results 41 of 76 (54%) infants required hospitalization with 92 admission episodes. 81 episodes were general pediatric ward admissions while 11 were to the PICU/HDU. Viral bronchiolitis was the leading cause for admissions. Meningitis in neonatal period was more common among patients who required hospital re-admission. Conclusions Ex-ELGAN required readmission primarily due to viral bronchiolitis. In our study population, neonatal meningitis was more common in patients who required post NICU discharge hospital re-admission.
Intravenous Clonidine: A Useful and Safety Sedation for Critically Ill Children
Aim To determine usefulness and safety of intravenous infusion of clonidine in critically-ill children. Methods Prospective, single-centre observational study from January 2013 to December 2014. PICU of Hospital Sant Jo...
A Valuable Tool to Determine Supraventricular Tachycardia in Children: Trans-Esophageal Electrophysiological Study
Objective: The aim of this study was to determine the accuracy of trans-esophageal electrophysiological study (TEEPS) in the diagnosis and differentiation of mechanisms of supraventricular tachycardia in pediatric patien...
Dental Neglect Affecting Oral Health Status in India
Background: Dental caries has been called as scourge of modern civilization and is without doubt, one of the mankind's most prevalent chronic diseases. The concept of dental neglect may offer a viable linkage between den...
Developing a Culturally Sensitive Training Program for Recognition of Hypoxic Ischemic Encephalopathy in Rural India#
Background: Birth asphyxia is a major cause of neonatal deaths in the developing world. The management of an asphyxiated infant includes effective resuscitation at birth and treatment of subsequent hypoxic ischemic encep...
Super Giant Coronary Aneurysm in an Algerian Boy with Kawasaki Disease
The patient is a 5-year-old male with findings suggestive of Kawasaki disease. He was treated with intravenous gamma globulin (IVG) and oral aspirin. Because the fever persisted, he received additional IVG and intravenou...