Hidden morbidity with 'successful' early discharge.
OBJECTIVE: This study was conducted to determine if early postnatal discharge (EDC; < or =48 hours) in well newborns had an effect on the rate of hospital readmission within the first week after hospital discharge when compared to infants who remained >48 hours after birth (later discharge, LDC). ST...
| Publicado en: | Journal of Perinatology Vol. 22; no. 1; pp. 15 - 21 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2002
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=106947741&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 106947741 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 07438346 DZF jtl: Journal of Perinatology issn: 07438346 maglogo: Y pubinfo: dt: Jan2002 vid: 22 iid: 1 pid: 2579 pub: Springer Nature place: Dordrecht, <Blank> artinfo: ui: 106947741 106947741 2002083863 10.1038/sj.jp.7210586 NLM11840237 106947741 ppf: 15 ppct: 6 formats: fmt: @attributes: type: P tig: atl: Hidden morbidity with 'successful' early discharge. aug: au: Radmacher P Massey C Adamkin D affil: Neonatal Nutrition Research Laboratory, 511 South Floyd St, Room 107, University of Louisville, KY 40292 sug: subj: Early Patient Discharge Readmission Morbidity Postnatal Care Jaundice, Neonatal Epidemiology Jaundice, Neonatal Diagnosis Maternal Health Services Record Review Retrospective Design T-Tests Infant, Newborn Funding Source Human Infant, Newborn: birth-1 month ab: OBJECTIVE: This study was conducted to determine if early postnatal discharge (EDC; < or =48 hours) in well newborns had an effect on the rate of hospital readmission within the first week after hospital discharge when compared to infants who remained >48 hours after birth (later discharge, LDC). STUDY DESIGN: This was a retrospective medical chart review. Charts of infants born between January 1994 and December 1998, discharged as 'well newborns' and treated subsequently at a primary children's hospital within 7 days of neonatal discharge, were reviewed. Infants were categorized by length of neonatal hospital stay, level of medical intervention (emergency department treatment or hospital admission), and final diagnosis. RESULTS: There was a significant increase in hospital readmission rate for LDC infants when compared to EDC infants. When considering jaundice alone as an admitting diagnosis, EDC infants were admitted at a higher rate than LDC infants and with higher serum bilirubin concentrations. Readmitted, jaundiced infants had been almost always breast-fed. CONCLUSION: Overall, EDC of well newborns appears to be a safe and reasonable practice. However, the risk for severe jaundice is an unresolved issue that requires a discharge strategy and early follow-up to prevent serious morbidity. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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