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Home oxygen use and 1-year readmission among infants born preterm with bronchopulmonary dysplasia discharged from children's hospital neonatal intensive care units

The Journal of Pediatrics Mar 05, 2020

Lagatta J, Murthy K, Zaniletti I, et al. - Via involving infants born < 32 weeks of gestation with bronchopulmonary dysplasia (BPD), excluding those with anomalies and tracheostomies, researchers explored connections between home oxygen use and 1-year readmissions for preterm infants with bronchopulmonary dysplasia (BPD) discharged from regional neonatal intensive care units. They conducted a secondary analysis of the Children's Hospitals Neonatal Database, with readmission data via the Pediatric Hospital Information System and demographics utilizing ZIP-code–linked census data. Readmission was associated with earlier gestational age, male sex, gastrostomy tube, surgical necrotizing enterocolitis, lower median income, nonprivate insurance, and shorter hospital-to-home distance. In regional neonatal intensive care units, home oxygen use is not linked to readmission for infants with BPD. Center variation in home oxygen use does not affect the risk of readmission. Nonrespiratory problems for infants with BPD are significant contributors to the risk of readmission.
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