medigraphic.com
ISSN 0035-0052 (Print)

2003, Number 5

<< Back Next >>

Rev Mex Pediatr 2003; 70 (5)

To identify the main reasons for hospital readmission of low risk newborn babies after an early discharge

Islas DLP, Ortiz AR, Verduzco GM

Language: Spanish
References: 15
Page: 243-245
PDF size: 42.28 Kb.


ABSTRACT

Objective: To identify the main reasons for hospital readmission of low risk newborn babies after an early discharge. Material and methods: Through January to December of 2001, the clinical records of newborn babies whom had an early discharge, were revised. Data was obtein about: the type of delivery, the neonatal age at discharge, the reason of hospitalization, the time lapsed between discharge and readmission, the socioeconomical characteristics of the family and duration of hospital stay. Results: The newborn babies which were discharged before 36 hours of life had a high risk of readmission. The causes for readmission were: hyperbilirubinemia, hypernatremic dehydration and sepsis. The average of postnatal age at readmission was 72 hours, 95% babies belong to low income families and the average stay in the hospital were 8 days. Conclusion: Causes for readmission to the hospital were similar to the reports done for others.


REFERENCES

  1. Danielsen B, Castles AG. New Discharge timing and readmissions: California, 1992-1995: Pediatrics 2000; 106: 31-9.

  2. Historia de la política y la práctica relacionadas con la estancia intrahospitalaria perinatal. Clin Perinatr 1998; 37: 609-15.

  3. Saccetti AD, Gerardi M. Boomerang babies. Emergency department utilization by discharge neonates. Pediatric Emergency Care 1997; 13: 365-8.

  4. Edmonson BM, Stoddard JJ, Owens LM. Hospital readmission with feeding-related problems after early postpartum discharge of normal newborns. JAMA 1997; 278: 299-303.

  5. Committee on Fetus and Newborn. Hospital discharge of the high-risk neonate-proposed guidelines. Pediatrics 1998; 102: 411-17.

  6. Good Science and Good Judgment. Early discharge and evidence-based practice. JAMA 1997; 278: 334-6.

  7. Soskolne EL, Schumacher R, Fyock C, Young ML, Schork A. The effect of early discharge and other factors on readmission rates of newborns. Arch Pediatr Adolesc Med 1996; 150: 373-9.

  8. Committee on Fetus and Newborn. Hospital stay for healthy term newborns. Pediatrics 1995; 96: 788-90.

  9. Liu LL, Clemens CJ, Shay DK, Davis RL, Novack AH. The safety of newborns early discharge. JAMA 1997; 278: 293-8.

  10. Marbella AM, Chetty VK, Layde PM. Neonatal hospital lengths of stay, readmissions, and charges. Pediatrics 1998; 101: 32-7.

  11. Vecchiarelli C, Azar P, Vivas N, Dinerstein A. Recomendaciones para el manejo del recién nacido de término sano con hiperbilirrubinemia. Arch Argentinos Pediatr 2000; 98: 250-2.

  12. Estancia Hospitalaria en Maternidad y Riesgo de reingreso. http://www.socvaped.orga/anua/post/23.

  13. Sánchez RJ, González JR, Angelín BP, Cevallos LT, Cabrera RD, Romero SI. Alta hospitalaria temprana en recién nacidos a término sano. Medicina Fetal y Neonatología 1999; 50: 479-84.

  14. Britton JR, Britton HL, Beebe SA. Early discharge of the term newborn: A continued dilemma. Pediatrics 1994; 94: 291-5.

  15. Seidman S. Reingreso hospitalario debido a hiperbilirrubinemia neonatal. Pediatrics 1995; 40: 752-5.




2020     |     www.medigraphic.com