Yenidoğan Yoğun Bakım Üni̇tesinde İzlenen Bebeklerin Gebelik Haftası ve Doğum Ağırlıklarına Göre Sağkalım, Hastanede Yatış Süreleri ve Rehospitalizasyon Oranları

Emel Okulu; İlke Mungan Akın; Begüm Atasay; Saadet Arsan; Tomris Türmen

Research Article

Turk J Pediatr Dis 2010; 4(2): 77-83.

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THE SURVIVAL RATES, LENGTH OF HOSPITAL STAY AND REHOSPITALIZATION RATES OF NEWBORNS FOLLOWED AT NEONATAL INTENSIVE CARE UNIT ACCORDING TO GESTATIONAL AGE AND BIRTH WEIGHT

Authors

Emel Okulu

İlke Mungan Akın

Begüm Atasay

Saadet Arsan

Tomris Türmen

Affiliations

Turk J Pediatr Dis 2010; 4(2): 77-83.

Published: August 1, 2010

Abstract

Aim: Advances in perinatal and neonatal care have allowed more premature or high-risk infants to live. Particularly, premature infants occupy most of the beds in neonatal units with long length of hospital stay (LOS) and high rehospitalization requirements. The aim of this study was to investigate the survival rates, LOS, and rehospitalization rates of the patients according to gestation age and birth weight, and to determine the number of bed-days and the utilization of bedscape in neonatal intensive care unit (NICU).Material and method: Hospital records of 544 infants and 30 rehospitalized infants who admitted to NICU between January 1, 2008 to December 31, 2008 were reviewed retrospectively.

Results: In one-year period, the mean LOS was 9.3 days, the overall survival rate was 96.5% and the rehospitalization rate was 2.9%. Mean LOS, survival and rehospitalization rates are inversely related to gestation age and birth weight (r=-1, p<0,01). The most common rehospitalization causes were laser photocoagulation for retinopathy and sepsis in preterm infants, and hyperbilirubinemia in term infants.

Conclusion: With evidence based scientific, preventive and right applications, the short- and long-term morbidities that may develop at intensive care process and later can be treated and increase in survival rates can be achieved. The rehospitalization of infants after discharge contributes to the high cost of intensive care and should create new morbidities. This requires right organization of NICU beds and outpatient follow-up

Keywords: Intensive care, length of hospital stay, survival, rehospitalization

References

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Türkiye’de yenidoğan bakım ünitelerinde mortalite-2002. Türk Neonatoloji Derneği Bülteni 2005;12:10-14.
Rogowski J. Measuring the cost of neonatal and perinatal care. Pediatrics 1999;103:329-335.
Kollee LA. Rehospitalization of very preterm infants. Acta Paediatr 2004;93:1270-1271.
Brooten D, Kumar S, Brown LP, Butts P, Finkler SA, Bakewell-Sachs S, Gibbons A, Delivoria-Papadopoulos M. A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight in- fants. N Eng J Med 1986;315:934-939.
Escobar DJ, Joffe S, Gardner MN, Armstrong MA, Folck BF, Carpenter DM. Rehospitalization in the first two weeks after discharge from the neo- natal intensive care unit. Pediatrics 1999;104;e2.
Aydıner EK, Akman IO, Kalaca S, Unver T, Bilgen H, Ozek E. Rehospitalization rates of infants of less than 32 weeks gestation in the first year of life. Marmara Med J 2005;18:71-75.
Seidman DS, Stevenson DK, Ergaz Z, Gale R. Hospital readmission due to neonatal hyperbilirubinemia. Pediatrics 1995;96:727-729.

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How to cite

Okulu E, Akın İM, Atasay B, Arsan S, Türmen T. THE SURVIVAL RATES, LENGTH OF HOSPITAL STAY AND REHOSPITALIZATION RATES OF NEWBORNS FOLLOWED AT NEONATAL INTENSIVE CARE UNIT ACCORDING TO GESTATIONAL AGE AND BIRTH WEIGHT. Turk J Pediatr Dis [Internet]. 2010 Aug. 1 [cited 2025 May 24];4(2):77-83. Available from: https://turkjpediatrdis.org/article/view/98

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[ref1] Fanaroff AA, Stoll BJ, Wright LL, Carlo WA, Ehrenkranz RA, Stark AR, Bauer CR, Donovan EF, Korones SB, Laptook AR, Lemons JA, Oh W, Papile LA, Shankaran S, Stevenson DK, Tyson JE, Poole WK; NICHD Neonatal Research Network. Trends in neonatal mortality and morbidity for very low birthweight infants. Am J Obstet Gynecol 2007;196:147.e1- e8.

[ref2] Türkiye’de yenidoğan bakım ünitelerinde mortalite-2002. Türk Neonatoloji Derneği Bülteni 2005;12:10-14.

[ref3] Rogowski J. Measuring the cost of neonatal and perinatal care. Pediatrics 1999;103:329-335.

[ref4] Kollee LA. Rehospitalization of very preterm infants. Acta Paediatr 2004;93:1270-1271.

[ref5] Brooten D, Kumar S, Brown LP, Butts P, Finkler SA, Bakewell-Sachs S, Gibbons A, Delivoria-Papadopoulos M. A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight in- fants. N Eng J Med 1986;315:934-939.

[ref6] Escobar DJ, Joffe S, Gardner MN, Armstrong MA, Folck BF, Carpenter DM. Rehospitalization in the first two weeks after discharge from the neo- natal intensive care unit. Pediatrics 1999;104;e2.

[ref7] Aydıner EK, Akman IO, Kalaca S, Unver T, Bilgen H, Ozek E. Rehospitalization rates of infants of less than 32 weeks gestation in the first year of life. Marmara Med J 2005;18:71-75.