Korean J Perinatol.  2014 Dec;25(4):246-256. 10.14734/kjp.2014.25.4.246.

Admission of Term Infants to Neonatal Intensive Care Unit from Nursery

• Park JS
• Cho KH
• Jo HS
• Cho SI
• Chae GY
• Kim MK
• Lee KH

• KMID: 2281142
• DOI: http://doi.org/10.14734/kjp.2014.25.4.246

Abstract

PURPOSE
We evaluated the clinical characteristics of term infants admitted to the neonatal intensive care unit (NICU) from nursery.
METHODS
This is a study of NICU-admitted infants who were born > or =37 weeks of gestation at the Bungdang CHA Hospital between January 2012 and August 2013 (n=161). The infants were divided into 3 groups. The "nursery room (NR) group" (n=97) comprised admissions from the nursery following a late deterioration in condition. The "delivery room (DR) group" (n=64) comprised infants who required admission to the NICU immediately after delivery. In addition, healthy term infants who were selected as the "Term group" (n=95).
RESULTS
The NR group had a higher incidence of respiratory distress syndrome than DR group (28.9% vs. 14.1%, P=0.029). Compared with the Term group, the NR group had increased incidence of prolonged (>18 h) premature rupture of membranes (PROM) (6.2% vs. 0.0%, P=0.029). By logistic regression analysis, comparing NR group and Term group, a 1 min Apgar score < or =7 points {odds ratio (OR) and 95% confidence intervals (CI) 3.1 (1.0-9.1)}, a requirement of O2 at birth 2.6 (1.2-5.9) and abnormalities detected on an antenatal sonogram 3.3 (1.4-7.8) were associated with an increased risk of admission to NICU.
CONCLUSION
Risk factors for NICU admission from nursery in term infants included prolonged PROM, a 1 min Apgar score of < or =7 points, a requirement of O2 at birth, and abnormalities on antenatal sonograms. Term infants with these risk factors should be carefully observed in the early neonatal period.

Keyword

Term birth; Neonatal intensive care unit; Patient admission; Risk factors

MeSH Terms

Apgar Score
Humans
Incidence
Infant*
Infant, Newborn
Intensive Care, Neonatal*
Logistic Models
Membranes
Nurseries*
Parturition
Patient Admission
Pregnancy
Risk Factors
Rupture
Term Birth

Figure

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  Fig. 1. The relationship between abnormal finding of prenatal ultrasonography and congenital anomalies (See the Table. 4). A: The cases of Abnormal findings of prenatal ultrasonography. B: The cases of Both of abnormal findings of prenatal ultrasonography and congenital anomaly 1-3. B': The cases of Both of abnormal findings of prenatal ultrasonography and congenital anomaly 6-13. C: The cases of revealed Congenital anomaly after birth 4,5,14-20. a : The cases of abnormal prenatal ultrasonography in newborns without congenital anomaly. c : The cases of congenital anomaly in newborns with normal prenatal ultrasonography.

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