A retrospective analysis of unplanned hospital readmissions of high-risk neonates in a tertiary hospital
- VernacularTitle:三级甲等医院新生儿科高危新生儿再入院原因分析及对策
- Author:
Taorong CHEN
;
Yanling HU
;
Xingli WAN
- Keywords:
Hospital Readmission;
High risk infant;
Cause;
Solution
- From:
Chinese Journal of Practical Nursing
2017;33(z1):6-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the causes and solutions of rehospitalization of the high-risk neonates. Methods The data collection form was designed based on the literature reviewing and the discussion of the nursing quality management team. Results The samples were retrospectively collected from January 2015 to October 2015. There were 106 cases readmitted among the 3012 discharged cases with the ratio of 3.52%. The average interval of readmission were (4.92±4.0) days, most of the cases were readmitted in 7 days after the first discharge with a ratio of 83.95%, the ratio of readmission within 3 days was 38.68%and that was 45.28%for the readmission within 4~7days. For the Preterm infants, the ratio of readmission within 3 days was 21.69%which was higher than that of the full term (16.98%), there was no statistically significant difference between the two groups(chi-square= 1.45, P>1.45). While the ratio of readmission within 7 days for premature infants was 49.06%(52/106), which was higher than that of full term infants [34.91%(37/106)], and there was statistically significant difference between the two groups(chi-square = 5.45, P<0.05). Jaundice was found to be the major reason for unplanned rehospitalization with the ratio of 50.94%. When compared the incidence of readmission contributed by improper feeding between the low birth weigh and normal birth weight infants, there was nostatistical significance (chi-square = 3.58, P>3.58). But when compared between preterm infants and full term, a higher ratio was found in preterm infants (16.04%), and there was statistically significant difference (chi-square = 5.83, P< 0.05). Conclusion One week after discharge was the peak time of readmission.Jaundice was the main factor of readmission. Premature babies were more likely to have readmission due to feeding problems.
