Association of early follow-up visits with reduced hospital readmissions of newborns: a French population-based data-linkage study.

Autor: Ravel C; APHM, Hospital University La Conception, Neonatal Unit, Service de Médecine Néonatale, 147 Boulevard Baille, 13005, Marseille, France., Nimal M; APHM, Hospital University La Conception, Neonatal Unit, Service de Médecine Néonatale, 147 Boulevard Baille, 13005, Marseille, France., Nauleau S; Regional Health Agency, Provence-Alpes-Côte d'Azur, France., Lapalus D; Regional Health Agency, Provence-Alpes-Côte d'Azur, France., Bernard O; Regional Health Agency, Provence-Alpes-Côte d'Azur, France., Gras E; APHM, Hospital University La Conception, Neonatal Unit, Service de Médecine Néonatale, 147 Boulevard Baille, 13005, Marseille, France., Tardieu S; APHM, Public Health and Medical Information Department, EA 3279, CEReSS-Health Service Research and Quality of Life Centre, Marseille, France., Boubred F; APHM, Hospital University La Conception, Neonatal Unit, Service de Médecine Néonatale, 147 Boulevard Baille, 13005, Marseille, France. farid.boubred@ap-hm.fr.; Aix-Marseille University, INSERM, INRAE, C2VN, Marseille, France. farid.boubred@ap-hm.fr.
Jazyk: angličtina
Zdroj: World journal of pediatrics : WJP [World J Pediatr] 2024 Nov; Vol. 20 (11), pp. 1138-1144. Date of Electronic Publication: 2024 Oct 12.
DOI: 10.1007/s12519-024-00841-y
Abstrakt: Background: Newborn care guidelines recommend assessments within a week of discharge from maternity care. However, the optimal timing and effectiveness to prevent neonatal hospital readmission are debated. This study aimed to determine the association between early follow-up visits (EFVs) within three days of postpartum discharge and hospital readmission of newborns up to 15 days of life.
Methods: This population-based data-linkage study used data from the French National Health Care Database. "Healthy" singleton term infants with a gestational age (GA) of ≥ 36 weeks, born between January 1, 2017, and November 30, 2018, in Southern France, were included. A multivariate regression analysis was performed.
Results: Among the 67,359 included infants, 1519 (2.25%) were hospitalized. The principal causes of hospitalization were infectious diseases (42.4%) and jaundice or growth/nutrition disorders (36.1%). Hospitalized infants were more likely to be born to young and socioeconomically deprived mothers, to be male (54.4% vs. 50.6%, P < 0.001), or born early (GA < 38 weeks; 28.5% vs. 20.5%, P < 0.001). They received 6% less EFVs than non-hospitalized infants (63.7% vs. 67.8%, P < 0.001). The multivariable regression logistic analysis revealed that infants who received EFVs had 13% lower odds of being hospitalized than infants without EFVs, with an adjusted odds ratio of 0.87 (95% confidence interval = 0.78-0.96; P < 0.01).
Conclusion: EFVs within three days were associated with a 13% reduction in the rate of neonatal hospital readmission. Therefore, EFVs should be implemented to improve infant health and reduce healthcare costs.
Competing Interests: Declarations. Ethical approval: This is an observational study using the data from the French National Uniform Hospital Discharge Database (Programme de Médicalisation du Système d’Information). All data are fully anonymized; informed written patients consent are not required in accordance of the French law after a deliberation of the French Commission for Data Protection and Liberties with the methodological reference MR005. This study was approved by the Ethical Committee of the French Pediatric Society. All French regulations have been respected. Conflict of interest: No financial or nonfinancial benefits have been received or will be received from any party directly or indirectly related to this article. The authors declare no conflict of interest.
(© 2024. Children's Hospital, Zhejiang University School of Medicine.)
Databáze: MEDLINE
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