Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești – Romania

Ioana Roșca
ORCID logo ,
Andreea Teodora Constantin
* ORCID logo ,
Daniela Eugenia Popescu
ORCID logo ,
Ana Maria Cristina Jura
,
Anca Miu
,
Alina Turenschi
Version 1 : Received: 12 February 2024 / Approved: 13 February 2024 / Online: 13 February 2024 (12:28:27 CET)

A peer-reviewed article of this Preprint also exists.

Roșca, I.; Constantin, A.T.; Popescu, D.E.; Jura, A.M.C.; Miu, A.; Turenschi, A. Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania. Medicina 2024, 60, 705. Roșca, I.; Constantin, A.T.; Popescu, D.E.; Jura, A.M.C.; Miu, A.; Turenschi, A. Are We Able to Prevent Neonatal Readmission? A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania. Medicina 2024, 60, 705.

Abstract

Early discharge after childbirth has led to a rise in neonatal readmission, becoming a major concern in recent decades. Our research aimed to identify the risk factors and incidence of neonatal readmission, as well as explore preventive measures. Our study at the Clinical Hospital of Pediatrics in Ploiești, Romania included 108 neonates admitted during the neonatal period. This accounted for 2.06% of all admissions (5226). The most prevalent cases were malnutrition (25%), fever (20.3%) and bronchiolitis (17.5%). Diarrhea and infectious gastroenteritis were also observed (14.8%), along with acute rhinoconjunctivitis (9.2%) and late onset sepsis (3.7%). No deaths were recorded. The most significant characteristics identified were number of children (p<0.001) and age at maternity discharge (p<0.001). By following the prevention rules, malnutrition, feeding errors, and infections can be avoided. This includes practicing proper hand hygiene for both mothers and medical staff, as well as educating and demonstrating to mothers the benefits of breastfeeding. In addition, all newborns discharged from the maternity ward should benefit from follow-up at 7-10 days of life. Our results confirm the effectiveness of a multidisciplinary team and endorse promoting breastfeeding. Implementing quality control measures and regularly evaluating the surveillance program will help improve its effectiveness.

Keywords

neonatal; readmission; newborns; pediatrics; malnutrition; breastfeeding; multidisciplinary team; public health; inclusion; equity.

Subject

Medicine and Pharmacology, Pediatrics, Perinatology and Child Health

Copyright: This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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