Prematuros tardíos: una población de riesgo infravalorada

Guasch, X. Demestre; Torrent, F. Raspall; Martínez-Nadal, S.; Cerén, Clara Vila; Saco, Marcelo; Castellví, P. Sala

doi:10.1016/j.anpedi.2009.06.011

Cited by 33 publications

(7 citation statements)

References 34 publications

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“…Although LPIs are sometimes called near term infants, this is a misconception as this group of premature babies poses a much higher risk than term babies due to structural and functional immaturity ( 7 ). Studies have clearly documented that LPIs are at higher risk of respiratory morbidities, neonatal jaundice, feeding difficulties, hypoglycemia, temperature instability, and sepsis ( 8 , 9 ).…”

Section: Introductionmentioning

confidence: 99%

“…Therapeutic and preventive interventions have been targeted toward preterm babies delivered before 34 weeks. This factor together with the falsified assumption that LPIs act like small term infants led to an underestimate of these babies' needs ( 7 ). In most practices, LPIs are admitted after delivery to the postpartum mother's room or to the well-baby nursery where they receive routine newborn care.…”

Section: Introductionmentioning

confidence: 99%

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Maternal and Perinatal Determinants of Late Hospital Discharge Among Late Preterm Infants; A 5-Year Cross-Sectional Analysis

et al. 2021

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Background: Although late preterm infants (LPIs) account for the majority of preterm births, they are mistakenly labelled and treated as “near term.” Whether longer initial hospital stay improves their outcomes and lowers readmission is controversial. The aim of this study is to identify maternal and perinatal factors associated with longer hospital stay and to assess the rate of readmission.Methods: The medical records of LPIs delivered at an academic center in Jordan over a 5-year period were reviewed. They were divided according to their initial hospital stay into: Early discharge group (ED, ≤ 3 days) and late discharge group (LD, > 3 days). Maternal and perinatal factors associated with > 3-day hospital stay were reported. The rate of readmission was compared between both groups.Results: 2236 LPIs were included in the analysis representing 13% of total births and 81% of premature births. LD group constituted 54%. A thousand two hundred forty three (56%) required admission to NICU. Factors associated with longer hospital stay included maternal prolonged rupture of membranes (AOR 1.9, 95% C.I 1.5, 2.4, p 0.000), C-section delivery (AOR 2.4, 95% C.I 1.9, 3, p 0.001), <35-week gestation (AOR 3.8, 95% C.I 2.6, 5, p 0.000), small-for-gestational age (AOR 1.9, 95% C.I 1.1, 3.8, p 0.03), birthweight <2,500 g (AOR 1.3, 95% C.I 1.1, 1.6, p 0.02), NICU admission (AOR 6.3, 95% C.I 3.4, 11.5, p 0.000), RDS (AOR 2.3, 95% C.I 1.5, 3.6, p 0.005), surfactant therapy (AOR 5, 95% C.I 1.9, 13.5, p 0.001), use of CPAP (AOR 1.7, 95% C.I 1.2, 2.2, p 0.001), jaundice (AOR 11.2, 95% C.I 7.7, 16.2, p 0.000), and sepsis (AOR 10.3, 95% C.I 4.8, 22, p 0.000). Readmission rate was 19% among the LD group and 13% among the ED group.Conclusion: LPIs are at high risk for developing prematurity-related morbidities and the duration of their initial hospital stay can be anticipated based on certain predisposing maternal and perinatal factors. Late discharge of LPIs does not lower the rate of readmission.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Maternal and Perinatal Determinants of Late Hospital Discharge Among Late Preterm Infants; A 5-Year Cross-Sectional Analysis

et al. 2021

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“…Many of the antepartum and intrapartum risk factors associated with the need of resuscitation may be present in late-preterm neonates (34 0/7 -36 6/7 weeks) [ 3 ]. It is also reported a double risk of Caesarean Section (CS) in case of late-preterm compared to term deliveries [ 4 ]. Our objective was to evaluate the transition period in late-preterm infants in particular considering the need for resuscitation and the incidence of hypothermia.…”

Section: Introductionmentioning

confidence: 99%

The transition of late preterm

et al. 2014

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“…18 [12,50] 13 [10,24] 21 [14,58] 19 [14, 32 [17,30] 28 [19,31] 5 [2,70] 0 [0,00] 31 [16,76] 18 [12,41] 26 [14,05] 21 [14,48] SGA 2 [1,16] 41 [17,30] 23 [13,37] 27 [11,39] 19 [11,05] Perz 90 ja 45 [16,67] 26 [11,87] 29 [10,74] 22 [10,05] Kategoriale Interessenkonfl ikt ▼ Die Autoren geben an, dass sie in keinem Interessenkonfl ikt stehen.…”

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