Causes and Associated Factors of Neonatal Readmission at Ayatollah Mousavi Hospital, Zanjan (2020–2023)
Background and purpose: Neonatal readmissions incur significant costs to the healthcare system. Identifying the causes of neonatal readmissions is therefore crucial. This study aimed to identify the causes of neonatal readmissions within the first two months of life at Ayatollah Mousavi Hospital in...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Mazandaran University of Medical Sciences
2025-07-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-21640-en.pdf |
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| Summary: | Background and purpose: Neonatal readmissions incur significant costs to the healthcare system. Identifying the causes of neonatal readmissions is therefore crucial. This study aimed to identify the causes of neonatal readmissions within the first two months of life at Ayatollah Mousavi Hospital in Zanjan, Iran, between 2020 and 2023.
Materials and methods: This was a descriptive cross-sectional study. Out of 12,873 discharge records from Ayatollah Mousavi Hospital in Zanjan, from April 2020 to March 2023, a total of 105 neonatal readmission records were identified. Data were collected using demographic information, neonatal characteristics, and reasons for readmission. Data analysis was performed using descriptive statistical indices, McNemar’s test, the Chi-square test, and one-way analysis of variance (ANOVA).
Results: The readmission rate was 8.15 cases per 1,000 live births. The most common causes of readmission were jaundice (41%) and infection (39%). The most common causes of initial hospitalization in neonates were jaundice (54.3%), respiratory distress or prematurity (21.9%), and infection (11.4%). The mean time interval from discharge to hospital readmission was 4.24 ± 3.90 days. None of the maternal or neonatal factors were significantly associated with hospital readmission (P > 0.05). Infants with jaundice were readmitted within a shorter period after discharge than those with infection. However, the length of stay during readmission was not significantly different between the two groups, although it was longer in the infection group.
Conclusion: The most common causes of neonatal readmission were jaundice and infection. Implementing protocols for the assessment of jaundice and infection prior to hospital discharge is recommended to reduce the rate of neonatal readmissions |
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| ISSN: | 1735-9260 1735-9279 |