B Vohr1,2, E McGowan1,2, L Keszler1,2, M O'Donnell1, K Hawes1,2,3, R Tucker1. 1. Department of Pediatrics, Women & Infants Hospital of Rhode Island, Providence, RI, USA. 2. Alpert School of Medicine, Brown University, Providence, RI, USA. 3. College of Nursing, University of Rhode Island, Kingston, RI, USA.
Abstract
OBJECTIVE: To evaluate effects of a transition home program (THP) and risk factors on emergency room (ER) use within 90 days of discharge for preterm (PT) infants <37 weeks gestation. STUDY DESIGN: This is a prospective 3-year cohort study of 804 mothers and 954 PT infants. Mothers received enhanced neonatal intensive care unit transition support services until 90 days postdischarge. Regression models were run to identify the effects of THP implementation year and risk factors on ER visits. RESULTS: Of the 954 infants, 181 (19%) had ER visits and 83/181 (46%) had an admission. In regression analysis, THP year 3 vs year 1 and human milk at discharge were associated with decreased risk of ER visits, whereas increased odds was associated with non-English speaking, maternal mental health disorders and bronchopulmonary dysplasia. CONCLUSION: Enhanced THP services were associated with a 33% decreased risk of all ER visits by year 3. Social and environmental risk factors contribute to preventable ER visits.
OBJECTIVE: To evaluate effects of a transition home program (THP) and risk factors on emergency room (ER) use within 90 days of discharge for preterm (PT) infants <37 weeks gestation. STUDY DESIGN: This is a prospective 3-year cohort study of 804 mothers and 954 PT infants. Mothers received enhanced neonatal intensive care unit transition support services until 90 days postdischarge. Regression models were run to identify the effects of THP implementation year and risk factors on ER visits. RESULTS: Of the 954 infants, 181 (19%) had ER visits and 83/181 (46%) had an admission. In regression analysis, THP year 3 vs year 1 and human milk at discharge were associated with decreased risk of ER visits, whereas increased odds was associated with non-English speaking, maternal mental health disorders and bronchopulmonary dysplasia. CONCLUSION: Enhanced THP services were associated with a 33% decreased risk of all ER visits by year 3. Social and environmental risk factors contribute to preventable ER visits.
Authors: Betty R Vohr; Yvette E Yatchmink; Robert T Burke; Bonnie E Stephens; Ellen C Cavanaugh; Barbara Alksninis; Julie H Nye; Deborah Bacani; Maureen F McCourt; Amy M Collins; Richard Tucker Journal: Early Hum Dev Date: 2011-11-21 Impact factor: 2.079
Authors: Peter M Mourani; John P Kinsella; Gilles Clermont; Lan Kong; Amy M Perkins; Lisa Weissfeld; Gary Cutter; Walter T Linde-Zwirble; Steven H Abman; Derek C Angus; R Scott Watson Journal: J Pediatr Date: 2013-12-31 Impact factor: 4.406
Authors: Elizabeth A Cristofalo; Richard J Schanler; Cynthia L Blanco; Sandra Sullivan; Rudolf Trawoeger; Ursula Kiechl-Kohlendorfer; Golde Dudell; David J Rechtman; Martin L Lee; Alan Lucas; Steven Abrams Journal: J Pediatr Date: 2013-08-20 Impact factor: 4.406
Authors: Betty R Vohr; Brenda B Poindexter; Anna M Dusick; Leslie T McKinley; Rosemary D Higgins; John C Langer; W Kenneth Poole Journal: Pediatrics Date: 2007-10 Impact factor: 7.124
Authors: Joseph M Collaco; Brianna C Aoyama; Jessica L Rice; Sharon A McGrath-Morrow Journal: Expert Rev Respir Med Date: 2021-06-17 Impact factor: 3.772