KMID : 0361720140250040246
|
|
Korean Journal of perinatology 2014 Volume.25 No. 4 p.246 ~ p.256
|
|
Admission of Term Infants to Neonatal Intensive Care Unit from Nursery
|
|
Park Jin-Seok
Cho Kee-Hyun Jo Heui-Seung Cho Sung-il Chae Kyu-Young Kim Moon-Kyu Lee Gyu-Hyung
|
|
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 ¡Ã37 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 ¡Â7 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 ¡Â7 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.
|
|
KEYWORD
|
|
Term birth, Neonatal intensive care unit, Patient admission, Risk factors
|
|
FullTexts / Linksout information
|
|
|
|
Listed journal information
|
|
|
|