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首页> 外文期刊>Pediatrics: Official Publication of the American Academy of Pediatrics >Late preterm infants: birth outcomes and health care utilization in the first year.
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Late preterm infants: birth outcomes and health care utilization in the first year.

机译：早产婴儿：第一年的出生结局和医疗保健利用率。

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OBJECTIVE: To distinguish the effects of late preterm birth from the complications associated with the causes of delivery timing, this study used propensity score-matching methods on a statewide database that contains information on both mothers and infants. METHODS: Data for this study came from Arkansas Medicaid claims data linked to state birth certificate data for the years 2001 through 2005. We excluded all multiple births, infants with birth defects, and infants at <33 weeks of gestation. Late preterm infants (LPIs) (34 to 36 weeks of gestation) were matched with term infants (37-42 weeks of gestation) according to propensity scores, on the basis of infant, maternal, and clinical characteristics. RESULTS: A total of 5188 LPIs were matched successfully with 15303 term infants. LPIs had increased odds of poor outcomes during their birth hospitalization, including a need for mechanical ventilation (adjusted odds ratio [aOR]: 1.31 [95% confidence interval [CI]: 1.01-1.68]), respiratory distress syndrome (aOR: 2.84 [95% CI: 2.33-3.45]), and hypoglycemia (aOR: 1.60 [95% CI: 1.26-2.03]). Outpatient and inpatient Medicaid expenditures in the first year were both modestly higher (outpatient, adjusted marginal effect: Dollars 108 [95% CI: Dollars 58-Dollars 158]; inpatient, Dollars 597 [95% CI: Dollars 528-Dollars 666]) for LPIs. CONCLUSIONS: LPIs are at increased risk of poor health-related outcomes during their birth hospitalization and of increased health care utilization during their first year.
机译：目的：为了区分早产的影响和与分娩时机原因相关的并发症，本研究在全州数据库中使用倾向得分匹配方法，该方法包含有关母婴的信息。方法：本研究的数据来自阿肯色州的医疗补助要求数据，该数据与2001年至2005年的州出生证明数据相关。我们排除了所有多胎出生，有先天缺陷的婴儿和小于33周妊娠的婴儿。根据倾向评分，根据婴儿，母亲和临床特征，将早产儿（LPIs）（妊娠34至36周）与足月儿（妊娠37-42周）进行配对。结果：共有5188个LPI与15303个足月婴儿成功配对。 LPI在出生住院期间出现不良结局的几率增加，包括需要机械通气（调整后的优势比[aOR]：1.31 [95％置信区间[CI]：1.01-1.68]），呼吸窘迫综合征（aOR：2.84 [ 95％CI：2.33-3.45]）和低血糖症（aOR：1.60 [95％CI：1.26-2.03]）。第一年的门诊和住院医疗补助支出均略有增加（门诊，调整后的边际效应：108美元[95％CI：58美元158];住院患者597美元[95％CI：528美元666]）用于LPI。结论：LPI在其出生住院期间因与健康相关的不良结果而患病的风险增加，并且在其第一年中其利用卫生保健的风险增加。

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