Gestational age and hospital utilization: three-years follow-up of an area-based birth cohort

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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. Relative risk ratios of both events increased by decreasing gestational age, and were 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.   

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Authors

Carlo Corchia - Alessandra Lisi International Centre on Birth Defects and Prematurity, Rome, Italy

Enrica Lapucci

Francesco Franco

Sara Franco

Stavros Petrou

Domenico Di Lallo

How to Cite
Corchia, C., Lapucci, E., Franco, F., Franco, S., Petrou, S., & Di Lallo, D. (2017). Gestational age and hospital utilization: three-years follow-up of an area-based birth cohort. Annali dell’Istituto Superiore Di Sanità, 52(4), 543-549. Retrieved from https://annali.iss.it/index.php/anna/article/view/321
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