Factores asociados al reingreso de neonatos por alta hospitalaria temprana
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2021
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Universidad de Guayaquil. Facultad de Ciencias Médicas. Escuela de Graduados
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Los neonatos en la actualidad son egresados de forma precoz una práctica que ha sido más frecuente por el alto requerimiento de disponibilidad de camas, su estancia hospitalaria ha disminuido en los últimos años, en la actualidad no hay un consenso para indicar el periodo de tiempo que necesita un neonato de permanecer junto con la madre en la sala de alojamiento conjunto, pero se conocen criterios de alta que han sido planteados posterior a su nacimiento Antecedentes, es un tema de debate del que se discute con frecuencia en foros científicos, pero del que se dispone poca evidencia sobre las ventajas y desventajas del alta precoz, el Objetivo fue identificar las causas que provocan el reingreso hospitalario temprano en los neonatos posterior a su alta en el Hospital Básico de Libertad entre el 2019 y 2020 y la Metodología que se realizó un estudio observacional retrospectivo, descriptivo y analítico, que abarco todos los recién nacidos; con un total de nacimientos de 851 neonatos; observándose un registro de reingresos por ictericia, sepsis, deshidratación por mala alimentación, los resultados obtenidos 28% fueron de reingreso durante el 2019 y el 75% durante el año 2020, se obtiene como conclusión que durante el periodo de 2019 si se cumplen los criterios de alta sin embargo en el periodo del 2020 no fue así, lo que llevó a un aumento de reingresos de neonatos por alta precoz.
Neonates are currently discharged early, a practice that has become more frequent due to the high requirement of bed availability, their hospital stay has decreased in recent years, at present there is no consensus to indicate the period of time that a neonate needs to stay with the mother in the rooming-in ward, but discharge criteria are known to have been proposed after birth Background, is a topic of debate that is frequently discussed in scientific forums, but of which little evidence is available on the advantages and disadvantages of early discharge, the Objective was to Identify the causes that lead to early hospital readmission in neonates after discharge in the Libertad Basic Hospital between 2019 and 2020 and the Methodology we conducted a retrospective, descriptive and analytical observational study, covering all newborns; with a total number of births of 851 neonates; observing a record of readmissions for jaundice, sepsis, dehydration due to poor feeding, in the results obtained 28% were of readmission during 2019 and 75% during 2020, it is obtained as a conclusion that during the period of 2019 if the discharge criteria are met however in the period of 2020 it was not so, which led to an increase in readmissions of neonates due to early discharge.
Neonates are currently discharged early, a practice that has become more frequent due to the high requirement of bed availability, their hospital stay has decreased in recent years, at present there is no consensus to indicate the period of time that a neonate needs to stay with the mother in the rooming-in ward, but discharge criteria are known to have been proposed after birth Background, is a topic of debate that is frequently discussed in scientific forums, but of which little evidence is available on the advantages and disadvantages of early discharge, the Objective was to Identify the causes that lead to early hospital readmission in neonates after discharge in the Libertad Basic Hospital between 2019 and 2020 and the Methodology we conducted a retrospective, descriptive and analytical observational study, covering all newborns; with a total number of births of 851 neonates; observing a record of readmissions for jaundice, sepsis, dehydration due to poor feeding, in the results obtained 28% were of readmission during 2019 and 75% during 2020, it is obtained as a conclusion that during the period of 2019 if the discharge criteria are met however in the period of 2020 it was not so, which led to an increase in readmissions of neonates due to early discharge.
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FACTORES ASOCIADOS, RECIEN NACIDO, READMISION DEL PACIENTE, ALTA DEL PACIENTE, HOSPITAL BÁSICO DR. RAFAEL SERRANO, EPIDEMIOLOGIA DESCRIPTIVA, EPIDEMIOLOGIA ANALITICA, ESTUDIOS RETROSPECTIVOS, CANTON LA LIBERTAD, ECUADOR