Hospital Readmission, Newborn, Newborn Complication, Newborn Morbidity
Conditions
Keywords
Newborn Infant, Hospital readmission, Early discharge, Very early discharge
Brief summary
This study compared hospital readmission and complications between very early discharge and early discharge in healthy newborn patients.
Detailed description
Introduction. Very early postnatal discharge is defined as a hospital stay of the mother-child dyad of less than 24 hours. It is usually performed in public institutions of low-income countries due to high birth rates; it has not been associated to a higher proportion of neonatal admissions, however, very early discharge might increase this risk. The objective of this study was to compare the rate hospital readmission in patients with very early vs early postnatal discharge. Methods A prospective, randomized clinical study was performed with healthy term infants born in a hospital in Mexico from July 2016 to June 2018. Sample was randomized into two groups, a very early discharge group (\<24 hours) and an early discharge group (24-48 hours). Hospital readmission rate was analyzed in both groups.
Interventions
OTHERTime to discharge less than 24 hours
Allow the joint medical discharge of the newborn together with its mother in less than 24 hours after birth in a healthy patient, without obstetric complications and who does not present comorbidities and complications.
OTHERDischarge time between 24 and 48 hours
Allow the joint medical discharge of the newborn together with its mother between 24-48 hours after birth in a healthy patient, without obstetric complications and who does not present comorbidities and complications.
Sponsors
Universidad Autonoma de Nuevo Leon
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
HEALTH_SERVICES_RESEARCH
Masking
SINGLE (Outcomes Assessor)
Masking description
Outcome assessors consisted of hospital staff not involved in the investigation.
Intervention model description
They were selected based on a random computer program in a 1: 1 model, assigning each subject randomly to one of the two study groups
Eligibility
Sex/Gender
ALL
Age
1 Minutes to 2 Days
Healthy volunteers
No
Inclusion criteria
* Healthy newborns that were born from vaginal delivery in primiparous or multiparous women where both the mother and the newborn were deemed as eligible for early discharge according to the American Association of Pediatrics criteria and by a clinical obstetric mother evaluation.
Exclusion criteria
* Placenta praevia, abnormal bleeding during vaginal delivery (considered as greater than 500mL), inhability to deambulate, medical complications from previous a previous pregnancy, 3rd or 4th degree perineal laceration as well as medical conditions that required any monitorization for more than 24 hours after delivery.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hospital readmission rate | 28 days | Proportion of participant newborns who were readmitted into the hospital during follow up |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Rate of attention in emergency services | 28 days | Proportion of participant newborns who attended the emergency services during follow up |
| Readmission rate associated factors | 28 days | Statistical associations between the primary outcome and other variables of interest |
Outcome results
None listed