摘要
目的:对在近期生存率改善情况下极早早产儿婴幼儿时期的再次入院率及其相关因素进行评估。方法:该同期组包括所有在1997年法国9个地区出生的出生时胎龄小于29周的早产儿。再次入院包括那些从首次出院到出生后9个月间因病再次住院的患儿。
Aim: To estimate the re-hospitalization rate of extremely preterm children during infancy and associated factors after the recent improvement in survival rates. Method: The cohort included all children born before 29 wk of gestation in nine French regions in 1997. All admissions between discharge from initial hospitalization and 9 mo after birth were considered. Factors studied included the child's characteristics at birth and during neonatal hospitalization, risk factors for infection after discharge and parents' so-cio-demographic characteristics. Adjusted odds ratios (aOR) for re-hospitalization for all reasons and for respiratory disorders were obtained from logistic regression models. Results: Of the 376 children, 178 were re-admitted at least once (47. 3% , 95% CI 42. 3 - 52. 4) . Fifty-five percent of the hospitalized children were admitted at least once for respiratory disorders. The re-hospitalization rate was higher for children who had had chronic lung disease (aOR 2. 2, 95% CI 1. 3 - 3. 7), those initially discharged between August and October (aOR 2. 5 95% CI 1. 2 -5. 1) or between November and January (aOR 3. 2, 95% CI 1.5-6.8), and children living with other children under six (aOR 3. 4, 95%CI 1.6-7.5) . Rehospitaliza-tions were associated with neither gestational age nor the duration of neonatal hospitalization. Adjusted odds ratios for re-hospitalization for respiratory tract disorders were very similar to those for the overall hospitalizations. Conclusion: Infants born before 29 wk have a very high risk of re-hospitalization. The associated factors can help define high-risk groups at discharge from the neonatal unit who need special surveillance.
