Characteristics of late preterm infant readmissions: A systematic review.

IF 1.2 4区 医学
Jennifer A Joyner, Amy E Papermaster, Jane Dimmitt Champion
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引用次数: 0

Abstract

Background: Prematurity represents a critical health disparity. It is important to note that late preterm (LPT) infants comprise the majority of preterm births, yet they are the least studied within the premature population. Evidence-based practice guidelines are now a decade old, indicating the potential need for review and revision.

Objectives: This systematic review proposed the assessment of sociodemographic characteristics of LPT infants, clinical practice standards, and associated hospital readmission rates, mortality, and morbidity to determine the need for revision of evidence-based practice guidelines for these infants.

Data sources: The Preferred Reporting System Items for Systematic Reviews and Meta Analysis methodology provided the framework for the completion of this review. Literature searches of PubMed/Medline (Ovid), Web of Science, Cumulative Index of Nursing, and Allied Health Literature Plus databases and citation searches included articles published after 2012 using the search terms "late preterm infants," "readmissions," and "readmission rates."

Conclusions: The literature search identified 11 studies meeting search criteria. These studies included quasi experimental, retrospective, and prospective cohort studies. These studies highlighted the characteristics of LPT infants that potentially contribute to increased readmission rates, morbidity and mortality rates, health care costs, and long-term health inequities. Overall findings indicate the need for review and revision of evidence-based practice guidelines for these infants.

Implications for practice: This systematic review manifests the vulnerability of LPT infants and the accompanying need for up-to-date clinical practice guidelines to effectively reduce their morbidity and mortality rates, hospital readmissions rates, and burden of health care costs.

晚期早产儿再入院的特征:系统回顾。
背景:早产是一个严重的健康问题。值得注意的是,晚期早产儿(LPT)占早产儿的大多数,但在早产儿群体中对他们的研究却最少。以证据为基础的实践指南已有十年之久,这表明有必要对其进行审查和修订:本系统综述建议对早产儿的社会人口学特征、临床实践标准以及相关的再入院率、死亡率和发病率进行评估,以确定是否有必要修订针对这些早产儿的循证实践指南:数据来源:系统综述和元分析方法的首选报告系统项目为本综述的完成提供了框架。在PubMed/Medline (Ovid)、Web of Science、Cumulative Index of Nursing和Allied Health Literature Plus数据库中进行文献检索,并使用 "晚期早产儿"、"再入院 "和 "再入院率 "等检索词对2012年以后发表的文章进行引文检索:文献检索发现了 11 项符合检索标准的研究。这些研究包括准实验研究、回顾性研究和前瞻性队列研究。这些研究强调了 LPT 婴儿的特点,这些特点可能会导致再入院率、发病率和死亡率、医疗成本以及长期的健康不公平现象增加。总体研究结果表明,有必要审查和修订针对这些婴儿的循证实践指南:本系统性综述表明了 LPT 婴儿的脆弱性以及对最新临床实践指南的需求,以有效降低他们的发病率和死亡率、再入院率和医疗费用负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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