Association of early follow-up visits with reduced hospital readmissions of newborns: a French population-based data-linkage study.

IF 6.1 2区 医学 Q1 PEDIATRICS World Journal of Pediatrics Pub Date : 2024-10-12 DOI:10.1007/s12519-024-00841-y
Camille Ravel, Marion Nimal, Steve Nauleau, David Lapalus, Olivier Bernard, Elise Gras, Sophie Tardieu, Farid Boubred
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Abstract

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.

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早期随访与降低新生儿再入院率的关系:一项基于法国人口的数据链接研究。
背景:新生儿护理指南建议在产妇出院一周内进行评估。然而,对于预防新生儿再次入院的最佳时机和效果还存在争议。本研究旨在确定产后出院三天内的早期随访(EFV)与新生儿出生后 15 天内再次入院之间的关系:这项基于人口的数据链接研究使用了法国国家医疗保健数据库的数据。研究纳入了2017年1月1日至2018年11月30日期间在法国南部出生的胎龄(GA)≥36周的 "健康 "单胎足月婴儿。进行了多变量回归分析:在纳入的67359名婴儿中,有1519人(2.25%)住院治疗。住院的主要原因是传染病(42.4%)和黄疸或生长/营养失调(36.1%)。住院婴儿的母亲更年轻,社会经济条件更差,更有可能是男性(54.4% 对 50.6%,P 结论:住院婴儿的母亲更年轻,社会经济条件更差,更有可能是男性(54.4% 对 50.6%,P 结论:住院婴儿的母亲更年轻,社会经济条件更差,更有可能是男性):在三天内服用长效抗逆转录病毒药物可将新生儿再入院率降低 13%。因此,为改善婴儿健康状况和降低医疗成本,应实施超低频抗逆转录病毒疗法。
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来源期刊
World Journal of Pediatrics
World Journal of Pediatrics 医学-小儿科
CiteScore
10.50
自引率
1.10%
发文量
592
审稿时长
2.5 months
期刊介绍: The World Journal of Pediatrics, a monthly publication, is dedicated to disseminating peer-reviewed original papers, reviews, and special reports focusing on clinical practice and research in pediatrics. We welcome contributions from pediatricians worldwide on new developments across all areas of pediatrics, including pediatric surgery, preventive healthcare, pharmacology, stomatology, and biomedicine. The journal also covers basic sciences and experimental work, serving as a comprehensive academic platform for the international exchange of medical findings.
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