Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2010 Aug;157(2):209-214.e1.
doi: 10.1016/j.jpeds.2010.02.006. Epub 2010 Mar 24.

Scope and impact of early and late preterm infants admitted to the PICU with respiratory illness

Cameron F Gunville  1 , Marci K Sontag, Kristin A Stratton, Daksha J Ranade, Steven H Abman, Peter M Mourani
Affiliations

Scope and impact of early and late preterm infants admitted to the PICU with respiratory illness

Cameron F Gunville et al. J Pediatr. 2010 Aug.

Abstract

Objective: To determine the clinical course and outcomes of children born early preterm (EPT, <32 weeks), late preterm (LPT, 32 to 35 weeks), and full term (FT, >or=36 weeks) who were subsequently admitted to the pediatric intensive care unit (PICU) with respiratory illness.

Study design: Retrospective chart review of patients <2 years old admitted to a tertiary PICU with respiratory illness.

Results: Two hundred seventy-one patients met inclusion criteria: 17.3% were EPT, 12.2% were LPT, and 70.5% were FT. Lower respiratory tract infection was the most common diagnosis (55%) for all groups. Median PICU length of stay was longer for EPT (6.3 days) and LPT infants (7.1 days) compared with FT infants (3.7 days; P < .03 for both comparisons). EPT and LPT infants had longer hospital stays (median, 11.7 and 13.8 days, respectively) compared with FT infants (median, 7.1 days; P < .03 and P = .004, respectively). Median hospital charges were also greater for EPT ($85 151) and LPT ($83 576) groups compared with FT group ($55 122; P < .01 and P < .02, respectively).

Conclusions: EPT and LPT infants comprise a considerable proportion of PICU admissions for respiratory illness and have greater resource utilization than FT infants.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Preterm infants had longer lengths of stay in the PICU and the hospital compared with full term infants. Length of stay in both the PICU and the hospital are displayed by gestational age at birth. Solid circles represent total hospital days, and open circles represent PICU days. Straight bars represent median values. Significant differences between the groups are shown with the p-values.
Figure 2
Figure 2
Preterm infants incurred greater hospital charges than term infants. Hospital charges are displayed by gestational age at birth. Straight bars represent median values. Significant differences between the groups are shown with the p-values.
See this image and copyright information in PMC

References

    1. Gregoire MC, Lefebvre F, Glorieux J. Health and developmental outcomes at 18 months in very preterm infants with bronchopulmonary dysplasia. Pediatrics. 1998 May;101:856–60. - PubMed
    1. Furman L, Baley J, Borawski-Clark E, Aucott S, Hack M. Hospitalization as a measure of morbidity among very low birth weight infants with chronic lung disease. J Pediatr. 1996 Apr;128:447–52. - PubMed
    1. Gross SJ, Iannuzzi DM, Kveselis DA, Anbar RD. Effect of preterm birth on pulmonary function at school age: a prospective controlled study. J Pediatr. 1998 Aug;133:188–92. - PubMed
    1. Smith VC, Zupancic JA, McCormick MC, Croen LA, Greene J, Escobar GJ, et al. Rehospitalization in the first year of life among infants with bronchopulmonary dysplasia. J Pediatr. 2004 Jun;144:799–803. - PubMed
    1. Prais D, Schonfeld T, Amir J. Admission to the intensive care unit for respiratory syncytial virus bronchiolitis: a national survey before palivizumab use. Pediatrics. 2003 Sep;112:548–52. - PubMed

Publication types

MeSH terms