کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3362082 1592060 2015 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Infections and risk-adjusted length of stay and hospital mortality in Polish Neonatology Intensive Care Units
ترجمه فارسی عنوان
عفونت ها و ریسک پذیری طول اقامت و مرگ و میر بیمارستان در واحد مراقبت های ویژه نوزادان لهستانی
کلمات کلیدی
موضوعات مرتبط
علوم زیستی و بیوفناوری ایمنی شناسی و میکروب شناسی میکروبیولوژی و بیوتکنولوژی کاربردی
چکیده انگلیسی


• Infections among VLBW newborns double the stay in NICU.
• Infections among VLBW newborns do not correlate with mortality rates.
• Infections are an independent factor of prolonged hospitalization in NICUs.

BackgroundThe objectives of this study were to analyze the impact of infections on prolonging hospital stay with consideration of underlying risk factors and determining the mortality rates and its association with infections.MethodsAn electronic database developed from a continuous prospective targeted infection surveillance program was used in the study. Data were collected from 2009 to 2012 in five Polish tertiary academic neonatal intensive care units (NICUs). The length of stay (LOS) of 2,003 very low birth weight (VLBW) neonates was calculated as the sum of the number of days since birth until death or until reaching a weight of 1,800 g.ResultsThe median LOS for neonates with infections was twice as high as for neonates without infection. LOS was significantly affected by the overall general condition of the neonate, as expressed by both gestational age and birth weight as well as by the Clinical Risk Index for Babies (CRIB) score; another independent factor was presence of at least one infection. Risk of in-hospital mortality was significantly increased by male sex and vaginal birth and was lower among breastfed neonates. Deaths were significantly more frequent in neonates without infection.ConclusionsThe general condition of VLBW infants statistically increase both their risk of mortality and LOS; this is in contrast to the presence of infection, which significantly prolonged LOS only.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: International Journal of Infectious Diseases - Volume 35, June 2015, Pages 87–92
نویسندگان
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