Emergency Department Visits and Rehospitalizations in Late Preterm Infants

Jain, Shabnam; Cheng, John B.

doi:10.1016/j.clp.2006.09.007

Cited by 71 publications

(37 citation statements)

References 15 publications

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“…This fi nding is consistent with our hypothesis based on previous studies identifying increased risk among LPIs for hyperbilirubinemia hospitalizations [12][13][14][15][16]28,29 and kernicterus, especially in the setting of poorly established breastfeeding. 30 One previous study analyzing LPIs and TIs reported similarly highest jaundice admission risk for 35 and 36 weeks' GA infants.…”

Section: Discussionsupporting

confidence: 93%

“…Infections have previously www.hospitalpediatrics.org been identifi ed as an important cause of hospitalizations and emergency department visits among LPIs, 15,16,28 but this risk has not been quantifi ed relative to TIs or EPIs. Although increased odds of hospitalizations for nonspecifi c infections could be infl uenced by heightened physician caution with LPIs, the increased odds of hospitalization for bacterial infections suggest actual increased vulnerability among LPIs, perhaps again made apparent by shorter birth hospitalizations compared with more immature EPIs.…”

Section: Discussionmentioning

confidence: 98%

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Hospitalization of Early Preterm, Late Preterm, and Term Infants During the First Year of Life by Gestational Age

Ray

Lorch

2013

Hospital Pediatrics

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 98%

Hospitalization of Early Preterm, Late Preterm, and Term Infants During the First Year of Life by Gestational Age

Ray

Lorch

2013

Hospital Pediatrics

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“…The cause of recurrent hospitalization after two weeks of age included bronchiolitis, pneumonia, fever and gastrointestinal. The incidence of readmission decrease with increases in gestational age [38,39].…”

Section: Hospital Readmissionsmentioning

confidence: 99%

Late Preterm and Early Term Neonates: A New Group of High Risk Newborn in Neonatology with Varied Complications

Kumar¹

2014

J Neonatal Biol

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“…LPIs have immature hepatic functions that place them at increased risk for developing significantly elevated serum bilirubin levels [1,13,16,70,82,83,84] LPIs have an increased bilirubin load on the hepatocyte. This is due to decreased erythrocyte survival, increased erythrocyte volume, and increased enterohepatic circulation of bilirubin.…”

Section: Significance To Feeding How Phns Can Respondmentioning

confidence: 99%

“…This makes human milk even more powerful in protecting LPIs against pathogens [66]. [5,6,46,49] Weight loss of more than 7% within the first 48 hours puts the LPI at risk for dehydration [36,49] LPIs are at an increases risk for excessive weight loss, slow weight gain, failure to thrive, prolonged formula supplementation, exaggerated jaundice, dehydration, breastfeeding failure, and rehospitalization [16,35,36].…”

Section: Significance To Feeding How Phns Can Respondmentioning

confidence: 99%

Supporting Public Health Nurses with Breastfeeding Interventions for Late Preterm Infants

Dosani¹

2017

Austin Pediatr

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Late preterm infants often experience feeding difficulty post discharge from hospital. While breast milk is especially important for late preterm infants, they have lower exclusive breastfeeding rates than full term infants. This is because mothers of late preterm infants often do not receive sufficient amount of breastfeeding support in the postpartum period. Furthermore, in the Canadian context, guidelines do not exist for health care providers to use to assist them in providing breastfeeding support for mother's of late preterm infant in the community setting. We used a modified Delphi approach to begin to fill this gap. We present information relating to physiological development in systems, its significance to feeding, and potential interventions for public health nurses. This information will assist PHNs in their clinical reasoning and decision-making when supporting mothers and their LPIs to exclusively breastfeed in the community. Keywords IntroductionLate preterm infants (LPIs), born between 34 0/7 weeks and 36 6/7 weeks gestational age, comprise approximately 75% of all preterm births [1][2][3]. While the average rate of preterm birth in Canada is 7.9%, Alberta (2015Alberta ( -2016 has the highest rate of preterm birth (8.6%) among the provinces, with Calgary averaging 8.9% [4]. Historically, various health care providers have managed the care of LPIs similar to that of term infants because of their comparatively large size and seemingly mature appearance [3,5,6]. The Canadian Paediatric Society (CPS) supports the early discharge of LPIs if it is safe to do so, as early discharge promotes infant feeding [2]. However, when compared with full term infants, LPIs are at higher risk of experiencing feeding difficulties, which may, in turn, result in excessive weight loss, hypoglycemia, hyperbilirubinemia, and the associated neurologic sequelae [7][8][9][10][11][12][13]. Because these medical issues may persist after discharge from hospital, LPIs have a higher rate of emergency room visits and hospital readmission within the first two weeks of life for issues related to feeding, including jaundice and dehydration [14][15][16][17].While LPIs may benefit significantly from breastmilk, they have lower exclusive breastfeeding rates due to mothers receiving inadequate breastfeeding support after birth [18]. Kair and colleagues [19] found that mothers receive inadequate breastfeeding support post discharge. Dosani and colleagues [20] found that not only did mothers have various difficulties with breastfeeding, public health nurses (PHNs) also found it challenging to guide mothers in breastfeeding and provide anticipatory guidance. There are many reasons for this, including limited training received in undergraduate programs [21]. In addition, there are limited guidelines, models of care, and evidence informed standards of community care for LPIs. PHNs in Alberta therefore must adapt guidelines for term infants to care for LPIs in the community setting, where follow up of the mother infant dyad is provided...

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Emergency Department Visits and Rehospitalizations in Late Preterm Infants

Cited by 71 publications

References 15 publications

Hospitalization of Early Preterm, Late Preterm, and Term Infants During the First Year of Life by Gestational Age

Hospitalization of Early Preterm, Late Preterm, and Term Infants During the First Year of Life by Gestational Age

Late Preterm and Early Term Neonates: A New Group of High Risk Newborn in Neonatology with Varied Complications

Supporting Public Health Nurses with Breastfeeding Interventions for Late Preterm Infants

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