Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region o...Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were discharged on or before the first postnatal day. Rates of early discharge varied significantly between hospitals. Infants < 2500 g at birth (adjusted odds ratio (AOR) 0.44, 95%CI 0.29 to 0.66), infants 35-37 weeks gestation at birth (AOR 0.65, 95%CI 0.49 to 0.86), and firstborn infants (AOR 0.09, 95%CI 0.08 to 0.10) were less likely to be discharged early. Women from more deprived areas were more likely to be discharged early (AOR1.37, 95%CI 1.12 to 1.67). A total of 907 of 32 015 babies liveborn in the region were readmitted to hospital during 1998. Readmission rates varied significantly by hospital of birth but not by timing of discharge. Babies < 2500 g at birth (AOR 1.95, 95%CI 1.16 to 3.28) and babies born at 35-37 weeks gestation (AOR 1.72, 95%CI 1.15 to 2.57) were more likely to be readmitted. Breast fed babies were less likely to be readmitted (AOR 0.69, 95%CI 0.53 to 0.90). Infants initially discharged early were not more likely to be readmitted. Conclusions: Early discharge occurred variably in the Northern Region in 1998. It is not associated with readmission to hospital. Breast feeding is associated with lower rates of readmission to hospital.展开更多
Purpose.To assess the patients who h ave had photody-namic therapy(PDT)in the Northern region of the UK,in relation to the eligibility criteria found to benefit in the TAP study(treatment of age-related macular degene...Purpose.To assess the patients who h ave had photody-namic therapy(PDT)in the Northern region of the UK,in relation to the eligibility criteria found to benefit in the TAP study(treatment of age-related macular degeneration with photodynamic therapy study),so as to make an estimate of the number of patients who might benefit from this treat-ment and to present the outcome of the treatment so far.Method.The records and fluorescein angiograms (FFAs )of all patients who had had PDT in the Northern region be-tween 2001and 2002were reviewed for compliance with the TAP criteria of >50%classic choroidal neovascular-ization and >34letters on the 2m logM AR Early Treatment Diabetic Retinopathy Study chart.N HS funding has been available in the Northern Region sin ce January 2001for‘second eye’involvement.A review of all the angiograms performed for exudative macular deg eneration in 1year was also performed.The visual outcome o f those patients 1year from baseline was measured.Results.A total of 82‘second eye’patients were treated between January 2001and December 2002.This gives an incidence of 65per 3million and so about 1300in the whole of the UK(population 60million).In all,238FFAs were performed on exudative macular degeneration,with 21%being found eligible for PDT.As of February 2003,54TAP criteria,macular degeneration patients were1year from initial treatment.Of these,12had incomple te follow-up and 13patients had lost more than 15letters.The responder rate defined as losing<15letters was 42-13/42=69%.Seven of those who did not make 1-year follow-up had lost more than 15letters when last seen,g iving a responder rate of 54-20/54=63%.Conclusion.There may not be as many patients eligible for PDT,usin g the TAP criteria,as previously hoped.The outcome of tre atment appears similar to that found in the TAP study.展开更多
文摘Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were discharged on or before the first postnatal day. Rates of early discharge varied significantly between hospitals. Infants < 2500 g at birth (adjusted odds ratio (AOR) 0.44, 95%CI 0.29 to 0.66), infants 35-37 weeks gestation at birth (AOR 0.65, 95%CI 0.49 to 0.86), and firstborn infants (AOR 0.09, 95%CI 0.08 to 0.10) were less likely to be discharged early. Women from more deprived areas were more likely to be discharged early (AOR1.37, 95%CI 1.12 to 1.67). A total of 907 of 32 015 babies liveborn in the region were readmitted to hospital during 1998. Readmission rates varied significantly by hospital of birth but not by timing of discharge. Babies < 2500 g at birth (AOR 1.95, 95%CI 1.16 to 3.28) and babies born at 35-37 weeks gestation (AOR 1.72, 95%CI 1.15 to 2.57) were more likely to be readmitted. Breast fed babies were less likely to be readmitted (AOR 0.69, 95%CI 0.53 to 0.90). Infants initially discharged early were not more likely to be readmitted. Conclusions: Early discharge occurred variably in the Northern Region in 1998. It is not associated with readmission to hospital. Breast feeding is associated with lower rates of readmission to hospital.
文摘Purpose.To assess the patients who h ave had photody-namic therapy(PDT)in the Northern region of the UK,in relation to the eligibility criteria found to benefit in the TAP study(treatment of age-related macular degeneration with photodynamic therapy study),so as to make an estimate of the number of patients who might benefit from this treat-ment and to present the outcome of the treatment so far.Method.The records and fluorescein angiograms (FFAs )of all patients who had had PDT in the Northern region be-tween 2001and 2002were reviewed for compliance with the TAP criteria of >50%classic choroidal neovascular-ization and >34letters on the 2m logM AR Early Treatment Diabetic Retinopathy Study chart.N HS funding has been available in the Northern Region sin ce January 2001for‘second eye’involvement.A review of all the angiograms performed for exudative macular deg eneration in 1year was also performed.The visual outcome o f those patients 1year from baseline was measured.Results.A total of 82‘second eye’patients were treated between January 2001and December 2002.This gives an incidence of 65per 3million and so about 1300in the whole of the UK(population 60million).In all,238FFAs were performed on exudative macular degeneration,with 21%being found eligible for PDT.As of February 2003,54TAP criteria,macular degeneration patients were1year from initial treatment.Of these,12had incomple te follow-up and 13patients had lost more than 15letters.The responder rate defined as losing<15letters was 42-13/42=69%.Seven of those who did not make 1-year follow-up had lost more than 15letters when last seen,g iving a responder rate of 54-20/54=63%.Conclusion.There may not be as many patients eligible for PDT,usin g the TAP criteria,as previously hoped.The outcome of tre atment appears similar to that found in the TAP study.
