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 aime...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.展开更多
文摘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.
