Early Nursery Discharge during COVID-19 and Readmissions for Hyperbilirubinemia.
| Autor: | Srinivasan, Pinchi, Rosenfeld, Warren N., Ditian Li, Bagiella, Emilia, Ferguson, Lincoln |
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| Předmět: |
RISK assessment
BREASTFEEDING HEALTH facility administration T-test (Statistics) HOSPITAL admission & discharge PATIENT readmissions FISHER exact test LOGISTIC regression analysis HOSPITALS BILIRUBIN MANN Whitney U Test CHI-squared test DESCRIPTIVE statistics HOSPITAL nurseries ODDS ratio LACTATION MEDICAL records ACQUISITION of data BREASTFEEDING promotion STATISTICS NEONATAL jaundice LENGTH of stay in hospitals COMPARATIVE studies DATA analysis software MEDICAL screening COVID-19 pandemic PATIENT aftercare CHILDREN |
| Zdroj: | Neonatology Today; May2024, Vol. 19 Issue 5, p3-9, 7p |
| Abstrakt: | Background and Objective: Early discharge from the Newborn Nursery has been associated with an increased risk for readmission, especially for hyperbilirubinemia. During COVID-19, early discharge policies were enacted at our hospital, allowing prospective data collection to evaluate if early discharge resulted in increased readmission for hyperbilirubinemia. Methods: Prospective observational data was abstracted from the electronic medical record in a New York State hospital with 2400 deliveries/year. Only babies >36 weeks gestation, born by NSVD, and admitted to the general Nursery were included. Data was analyzed for early discharge at =36 and =48 hours. Results: During the COVID-19 study period (January 2020-June 2021), 1714 babies met inclusion criteria. Five hundred seventyeight (34%) of patients were discharged =36 hours and 1225 (71%) =48 hours. For newborns discharged =36 hours, there were 5 RA (0.9%), which was significantly less than 28 (2.5%) discharged >36 hours [OR 0.35(0.13, 0.90) (p=0.03)]. Twenty newborns (1.6%) discharged =48 hours were readmitted compared to 13 (2.3%) discharged >48 hours [OR 0.61(0.31, 1.23) (p=0.17)]. Conclusion: Early discharge was not associated with increased readmissions for hyperbilirubinemia with early discharges at =36 and 48 hours. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
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