Study of Risk Factors in Infants Discharged From SNCU and Rehospitalization: A Retrospective Study
Shyam Sundar Bhagat, Jayashree Nadkarni, Sakshi Ojha
Abstract
Background: Hospital readmissions are an important parameter to evaluate the pediatric inpatient quality because sick newborn care unit (SNCU) graduates majorly contribute to these readmissions. Assessment of these risk factors can help improve quality of health care services to neonates and infants.
Aim: To study the risk factors responsible for readmission of infants who are SNCU graduates
Materials and Methods: This hospital-based retrospective observational study was carried out in a tertiary care hospital in Central India (Gandhi Medical College and Associated Kamala Nehru Hospital, Bhopal, Madhya Pradesh, India). A total of 116 infants, who were SNCU graduates, readmitted for various reasons were evaluated for 1 year. After obtaining written informed consent, the relevant information was collected from parents and discharge cards. The data were statistically analyzed at the end.
Results: Of the 3848 infants admitted during the study period, 116 (3.01%) were SNCU graduates. The majority of readmissions was noticed among infants with birth weight between 1500 and 2500 g (63.8%, P < .01) and those born at gestational ages < 34 weeks. The mortality was also found to be high in these groups of infants.
Suspicion of sepsis, difficulty in breathing, and hyperbilirubinemia were found to be the most common causes of readmissions. No significant differences were noticed on the basis of gender and other demographic parameters.
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