Am J Perinatol 2021; 38(S 01): e330-e337
DOI: 10.1055/s-0040-1710011
Original Article

Does Duration Off Respiratory Support Prior to Discharge from NICU Predict Hospital Readmission among Extremely Low Gestational Age Neonates?

Priyam Pattnaik
1  Department of Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York
,
Samantha Palmaccio
1  Department of Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York
,
Judy Aschner
1  Department of Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York
2  Department of Pediatrics, Hackensack Meridian School of Medicine at Seton Hall, Nutley, New Jersey
,
Ruth Eisenberg
3  Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York
,
Jaeun Choi
3  Department of Epidemiology and Population Health, Albert Einstein College of Medicine, Bronx, New York
,
M. Susan LaTuga
1  Department of Pediatrics, Children’s Hospital at Montefiore, Albert Einstein College of Medicine, Bronx, New York
› Author Affiliations

Abstract

Objective Our objective was to determine if the duration off respiratory support prior to discharge home from the neonatal intensive care unit (NICU) would impact hospital readmission rates among extremely low gestational age neonates (ELGAN).

Study Design In this retrospective chart review, we examined readmission rates for ELGAN admitted to the Montefiore–Weiler NICU between 2013 and 2015.

Results Of 140 infants born at <29 weeks' gestational age, 30 (21%) of these infants were subsequently readmitted within 90 days, primarily for respiratory complaints. Readmitted infants were born at an earlier gestational age (median = 26 weeks; interquartile range [IQR]: 24–27 weeks) compared to infants who did not require readmission (median = 27 weeks; IQR: 25-28 weeks), p = 0.03. Birth weights were smaller among infants who required readmission, 800 ± 248 g compared to 910 ± 214 g (p = 0.02). Infants with Hispanic ethnicity and those discharged during the spring season were likely to be readmitted. Duration off respiratory support prior to discharge did not predict 90-day readmission rates. Lower gestational age and birth weight were associated with higher rates of readmissions after NICU discharge.

Conclusion Duration off and invasiveness of respiratory support prior to discharge did not predict risk of 90-day readmission nor did discharge during months with traditionally higher prevalence of respiratory viruses.



Publication History

Received: 22 August 2019

Accepted: 24 March 2020

Publication Date:
05 May 2020 (online)

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