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Minerva Pediatrica 2020 Jun 05

DOI: 10.23736/S0026-4946.20.05736-9


lingua: Inglese

Morbidities and rehospitalizations during the first year of life in moderate and late preterm infants: more similarities than differences?

Anna SCHEUCHENEGGER 1, 2 , Bernadette WINDISCH 2, Jasmin PANSY 1, Bernhard RESCH 1, 2

1 Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria; 2 Research Unit for Neonatal Infectious Diseases and Epidemiology, Medical University of Graz, Graz, Austria


AIM: To compare neonatal morbidities in moderate and late preterm infants and to analyze rates and causes for rehospitalizations during the first year of life.
METHODS: Prospective follow-up of a group of moderate and late preterm infants at a tertiary care hospital.
RESULTS: The study population comprised 215 infants (58% males; 60% singletons; 99 moderate and 116 late preterm infants) with a median gestational age of 34 weeks and birth weight of 2100 grams; 20% of them were small for gestational age. Moderate preterm infants more often had a diagnosis of mild respiratory distress syndrome (26% vs. 13%, p<0.01) and feeding problems with longer need for nasogastric tube feeding (median 9.5 vs 4.2 days, p<0.01) and parenteral nutrition (3.5 vs. 2.7 days, p<0.01), and longer duration of stay at either NICU (10.6 vs. 3.7 days; p<0.01) or hospital (13 vs. 11 days; p<0.01). Fifty-two infants (24.3%) were hospitalized at 67 occasions without differences regarding readmission rates and causes between groups. Median age at readmission was 3 months, median stay 4 days. The most common diagnosis was respiratory illness (43.3%).
CONCLUSIONS: Moderate preterm infants had more neonatal morbidities diagnosed, but the same rehospitalization rates than late preterm infants.

KEY WORDS: Moderate preterm infants; Late preterm infants; Neonatal morbidity; Rehospitalization

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