Julie Shakib1, Karen Buchi1, Elizabeth Smith1, Kent Korgenski2, Paul C Young3. 1. Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah; and. 2. Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah; and Intermountain Healthcare, Pediatric Specialty Clinical Program, Salt Lake City, Utah. 3. Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah; and paul.young@hsc.utah.edu.
Abstract
BACKGROUND AND OBJECTIVES: Recommendations for the timing of the first well-child visit (WCV) after discharge from a well-baby nursery (WBN) suggest that the visit occur within 48 hours of discharge for those with a WBN length of stay of ≤48 hours and within 3 to 5 days for those with a WBN length of stay of >48 hours. The purpose of these early visits is to detect conditions that may cause readmission in the first weeks after birth, but the effectiveness of early visits to accomplish this has not been shown. The objectives of this study were to determine (1) the frequency of early visits and (2) to compare readmission rates for those who had an early visit compared with those who did not. METHODS: Using data from a large health care system in Utah, we determined the readmission rates newborns with an estimated gestational age ≥34 weeks and compared the rates for those who had an early WCV with those who did not. RESULTS: Of 79 720 newborns, 50 606 (63%) were discharged within 48 hours of birth. Of these, 7638 (15%) had a visit within 72 hours of discharge. The readmission rate for newborns who had a visit within the recommended time frame was 15.7 per 1000 compared with 18.4 for those with a later visit (odds ratio 0.85; 95% confidence interval 0.73-0.99) CONCLUSIONS: The frequency of first WCVs that occurred within the recommended time frames was low. Early visits were associated with a 15% reduction in the rate of readmissions.
BACKGROUND AND OBJECTIVES: Recommendations for the timing of the first well-child visit (WCV) after discharge from a well-baby nursery (WBN) suggest that the visit occur within 48 hours of discharge for those with a WBN length of stay of ≤48 hours and within 3 to 5 days for those with a WBN length of stay of >48 hours. The purpose of these early visits is to detect conditions that may cause readmission in the first weeks after birth, but the effectiveness of early visits to accomplish this has not been shown. The objectives of this study were to determine (1) the frequency of early visits and (2) to compare readmission rates for those who had an early visit compared with those who did not. METHODS: Using data from a large health care system in Utah, we determined the readmission rates newborns with an estimated gestational age ≥34 weeks and compared the rates for those who had an early WCV with those who did not. RESULTS: Of 79 720 newborns, 50 606 (63%) were discharged within 48 hours of birth. Of these, 7638 (15%) had a visit within 72 hours of discharge. The readmission rate for newborns who had a visit within the recommended time frame was 15.7 per 1000 compared with 18.4 for those with a later visit (odds ratio 0.85; 95% confidence interval 0.73-0.99) CONCLUSIONS: The frequency of first WCVs that occurred within the recommended time frames was low. Early visits were associated with a 15% reduction in the rate of readmissions.
Authors: Neera K Goyal; Eric S Hall; Robert S Kahn; Scott L Wexelblatt; James M Greenberg; Zeina M Samaan; Courtney M Brown Journal: Matern Child Health J Date: 2016-09
Authors: Anthony J Schaeffer; Patrick C Cartwright; Glen A Lau; Mark D Ebert; Nora F Fino; Flory L Nkoy; Rachel Hess Journal: Adv Urol Date: 2020-07-30
Authors: Jean Paul Muambangu Milambo; KaWing Cho; Charles Okwundu; Abiola Olowoyeye; Leonidas Ndayisaba; Sanjay Chand; Mark H Corden Journal: Glob Health Res Policy Date: 2018-01-12