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KMID : 0361720140250040246
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Korean Journal of perinatology
2014 Volume.25 No. 4 p.246 ~ p.256
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Admission of Term Infants to Neonatal Intensive Care Unit from Nursery
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Park Jin-Seok
Cho Kee-Hyun
Jo Heui-Seung
Cho Sung-il
Chae Kyu-Young
Kim Moon-Kyu
Lee Gyu-Hyung
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Abstract
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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 ≥37 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 ≤7 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 ≤7 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.
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KEYWORD
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Term birth, Neonatal intensive care unit, Patient admission, Risk factors
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