Admission of Term Infants to Neonatal Intensive Care Unit from Nursery / 대한주산의학회잡지
Korean Journal of Perinatology
;
: 246-256, 2014.
Artigo
em Coreano
| WPRIM
| ID: wpr-194012
ABSTRACT
PURPOSE:
We evaluated the clinical characteristics of term infants admitted to the neonatal intensive care unit (NICU) from nursery.METHODS:
This is a study of NICU-admitted infants who were born > or =37 weeks of gestation at the Bungdang CHA Hospital between January 2012 and August 2013 (n=161). The infants were divided into 3 groups. The "nursery room (NR) group" (n=97) comprised admissions from the nursery following a late deterioration in condition. The "delivery room (DR) group" (n=64) comprised infants who required admission to the NICU immediately after delivery. In addition, healthy term infants who were selected as the "Term group" (n=95).RESULTS:
The NR group had a higher incidence of respiratory distress syndrome than DR group (28.9% vs. 14.1%, P=0.029). Compared with the Term group, the NR group had increased incidence of prolonged (>18 h) premature rupture of membranes (PROM) (6.2% vs. 0.0%, P=0.029). By logistic regression analysis, comparing NR group and Term group, a 1 min Apgar score < or =7 points {odds ratio (OR) and 95% confidence intervals (CI) 3.1 (1.0-9.1)}, a requirement of O2 at birth 2.6 (1.2-5.9) and abnormalities detected on an antenatal sonogram 3.3 (1.4-7.8) were associated with an increased risk of admission to NICU.CONCLUSION:
Risk factors for NICU admission from nursery in term infants included prolonged PROM, a 1 min Apgar score of < or =7 points, a requirement of O2 at birth, and abnormalities on antenatal sonograms. Term infants with these risk factors should be carefully observed in the early neonatal period.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Índice de Apgar
/
Admissão do Paciente
/
Ruptura
/
Terapia Intensiva Neonatal
/
Modelos Logísticos
/
Incidência
/
Fatores de Risco
/
Parto
/
Nascimento a Termo
/
Membranas
Tipo de estudo:
Estudo de etiologia
/
Estudo de incidência
/
Estudo prognóstico
Limite:
Humanos
/
Lactente
/
Recém-Nascido
/
Gravidez
Idioma:
Coreano
Revista:
Korean Journal of Perinatology
Ano de publicação:
2014
Tipo de documento:
Artigo
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