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Re-admission Rate of Premature Children Due to Respiratory Symptoms is Associated with Air Pollutant Levels

並列摘要


Background: The re-admission rate of premature graduate is higher than that of term infant. There was wide variation in the cause of re-admission. We retrospectively review the relationship between the readmission rate of premature children due to respiratory symptoms and the quality of air pollutant. Methods: Ninety-nine patients with gestational age less than 36 weeks readmitted to Shin Kong Wu Ho-Su Memorial Hospital (SKH) in their first 2 years of life during January 2004 to December 2006 were enrolled. The air pollution data were retrieved from the air quality monitoring data banks of Taiwan's environmental protection administration. We used monthly average data in Shilin district. The Auto-Regressive Integrated Moving Average (ARIMA) and Auto-Regressive Moving Average (ARMA) model were used for statistic analysis. Results: There was no demographic difference among nighty-nine rehospitalized premature patients with or without respiratory symptoms. The fittest ARIMA model for readmission rate due to respiratory problem is ARIMA (1, 1, 0), while the fittest ARIMA model for readmission rate due to non-respiratory problem is ARMA (1, 2). As for pollutant standards index (PSI), the fittest model is ARMA (1, 0). Conclusion: There is positive correlation between air pollutant level and the readmission rate of premature children due to respiratory symptoms.

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