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    The role of neonatal pulmonary morbidity in the longitudinal patterns of hospitalisation for respiratory infection during the first year of life

    Access Status
    Fulltext not available
    Authors
    Betts, K.
    Soares Magalhães, R.
    Alati, Rosa
    Date
    2018
    Type
    Journal Article
    
    Metadata
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    Citation
    Betts, K. and Soares Magalhães, R. and Alati, R. 2018. The role of neonatal pulmonary morbidity in the longitudinal patterns of hospitalisation for respiratory infection during the first year of life. Epidemiology and Infection. 146 (9): pp. 1130-1137.
    Source Title
    Epidemiology and Infection
    DOI
    10.1017/S0950268818001103
    ISSN
    0950-2688
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/71851
    Collection
    • Curtin Research Publications
    Abstract

    Copyright © Cambridge University Press 2018. Respiratory infections among infants constitute a major burden to health care systems in developed nations, yet the course and risk factors leading to these conditions are poorly understood. We examine the longitudinal patterns of respiratory infection hospitalisation (RIH) and how these patterns are influenced by neonatal pulmonary morbidities. We included all live births (n = 429 058) occurring in the Australian state of Queensland between January 2009 and December 2015. Data were structured so that each participant had a record (present/absent) of RIH for each month from birth to 12 months. Initially, latent class growth analysis was used to identify the trajectories of RIH adjusted for spatial-temporal factors; using the identified trajectories of RIH as outcomes, we built a multinomial logistic regression model to identify neonatal predictors of RIH trajectories. Our results indicated that a four-class solution was the best fit to the data, comprising a 'no-risk' trajectory, a 'low-risk' trajectory, an 'early-risk' trajectory and a 'chronic-risk' trajectory. Compared with the no-risk trajectory, membership in the other trajectories was predicted by a range of neonatal pulmonary morbidities, with transient tachypnoea of newborn showing a specific relationship with the early-risk group and sleep apnoea showing a specific and strong risk with the chronic-risk group. Our findings suggest the possibility of identifying neonates at risk of recurrent RIH and implementing effective intervention strategies prior to neonatal discharge.

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