Poster Presentation

Wednesday, July 9, 2008
9:45 AM - 10:30 AM

Wednesday, July 9, 2008
11:45 AM - 12:30 PM

Thursday, July 10, 2008
9:45 AM - 10:30 AM

Thursday, July 10, 2008
2:30 PM - 3:15 PM
This presentation is part of : POSTERS: Health Policy
A Study of Readmission within 15 Days after Discharge in Low Birth Weight Preterm Infants with Pulmonary Disease
Yen-Hsueh Tseng, Committee of quality care and patient safety, Taipei Veterans General Hospital, Taipei, Taiwan, Sung-Hui Ni, MSc, Department of Nursing, Taidung Christian Hospital, Taidung, Taiwan, and Chung Yi Li, Department of Health Care Management, National Taiwan College of Nursing, Taipei, Taiwan.
Learning Objective #1: To estimate the incidence rates of readmission within 15days after discharge with pulmonary disease.
Learning Objective #2: To explore the significant predictors for readmission.

Objectives This study aims to estimate the incidence rates of readmission within 15days after discharge following the initial hospitalization after birth due to pulmonary relative diseases among PLBW infants with pulmonary disease, and to explore the significant predictors for readmission.

Study design This was a retrospective cohort study of 18,421 PLBW infants (ICD-9-CM=765) among whom 10,946 suffered from pulmonary disease (ICD-9-CM=748A769A770) with his/her lifetime initial hospitalization in 2000-2002 were identified from the ICR of the NHID. The study subjects were then linked to the 2000-2003 ICR to identify all hospitalizations occurred within 15 days of observation following the initial hospitalization.

Results The CIR associated with pulmonary relative disease was estimated at 4.8%. The incidence density estimate was readmissions 2.39/ person-years (pys). Results from the Cox multivariate regression analysis indicated that male infants,< 1,750 grams of birth weight, <28 weeks of gestational age , congenital anomaly were all significant predictors for elevated readmission rates.Conclusions: The study found that the readmission rate among PLBW infants in Taiwan was higher than the figures previously reported in Western countries. Despite that, more intensive and quality-improved cares for the PLBW infants who are at a higher risk of readmission, especially due to respiratory infection, should be considered in order to further reduce the readmission rate among PLBW infants.