Corchia, C., Lapucci, E., Franco, F., Farchi, S., Petrou, Stavros and Lallo, D. (2016) Gestational age and hospital utilization : three-years follow-up of an area-based birth cohort. Annali dell'Istituto Superiore di Sanità, 52 (4). pp. 543-549. doi:10.4415/ANN_16_04_14

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Abstract

OBJECTIVE:
To investigate differences by gestational age in emergency department visits and re-hospitalizations during the three years following childbirth discharge.

METHODS:
We performed a historical cohort study in Lazio Region, Italy, for infants born in 2007-2008 to resident mothers. Health administrative data were used. Analysis was performed by multinomial logistic regression.

RESULTS:
Of 90 545 infants, more than 50% had at least one emergency department visit, and 18.8% at least one re-hospitalization. After the exclusion of infants with congenital anomalies, relative risk ratios of re-hospitalization and, to a lesser extent, of emergency department visits increased by decreasing gestational age; the two events were also higher for mothers ≤35 years of age, with low education and of Italian nationality. Residency outside the metropolitan area was associated with an increased risk of re-hospitalization and a decreased risk of emergency department visits.

CONCLUSION:
During the three years following childbirth discharge, re-hospitalizations and, to a lesser extent, emergency department use are inversely related to gestational age at birth; socio-demographic factors have an effect on the risk of infant use of hospital resources independent of gestational age.

Item Type:	Journal Article
Subjects:	R Medicine > RA Public aspects of medicine R Medicine > RJ Pediatrics > RJ101 Child Health. Child health services
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School
Library of Congress Subject Headings (LCSH):	Emergency medical services -- Infants -- Lazio (Italy), Gestational age , Pediatrics
Journal or Publication Title:	Annali dell'Istituto Superiore di Sanità
Publisher:	Il Pensiero Scientifico Editore
Official Date:	30 September 2016
Dates:	Date Event 30 September 2016 Accepted
Volume:	52
Number:	4
Page Range:	pp. 543-549
DOI:	10.4415/ANN_16_04_14
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Open Access (Creative Commons)
Date of first compliant deposit:	13 January 2017
Date of first compliant Open Access:	13 January 2017
Funder:	Italy. Servizio sanitario regionale del Lazio [Lazio regional health service], AbbVie (firm)
Related URLs:	Publisher Publisher

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