ArticleNorth American journal of medical sciences2011
Length of postnatal hospital stay in healthy newborns and re-hospitalization following early discharge.
Article in North American journal of medical sciences, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 75 citations in OpenAlex.
- Risk factors associated with 31-day unplanned hospital readmission in newborns: a systematic review.European journal of pediatrics · 2023Pooled it
- Risk factors associated with paediatric unplanned hospital readmissions: a systematic review.BMJ open · 2019Pooled it
- Vaginal delivery: how does early hospital discharge affect mother and child outcomes? A systematic literature review.BMC pregnancy and childbirth · 2017Pooled it
- Focused breastfeeding counselling improves short- and long-term success in an early-discharge setting: A cluster-randomized study.Maternal & child nutrition · 2017Trial
- Clinical outcomes of the 2022 AAP hyperbilirubinemia guideline in term and late-preterm infants: a prospective study in Thailand.Italian journal of pediatrics · 2026Observational
- Preventable Infectious Pathology Dominates Neonatal Readmissions: A Retrospective Analysis from a Pediatrics Department in Ploiești, Romania.Children (Basel, Switzerland) · 2026Article
- Article
- Clinical Profile of Neonates Getting Readmitted to Neonatal Intensive Care Unit (NICU) after Discharge from Hospital.Indian journal of pediatrics · 2025Article
- Determinants of early discharge after birth among mothers delivered vaginally at health facilities: further analysis of the Ethiopian demographic health survey.BMC public health · 2023Article
- Iterative Development, Validation, and Certification of a Smartphone System to Assess Neonatal Jaundice: Development and Usability Study.JMIR pediatrics and parenting · 2023Article
- Article
- Association of early discharge with increased likelihood of hospital readmission in first four weeks for vaginally delivered neonates.Acta paediatrica (Oslo, Norway : 1992) · 2022Article
- Readmission of late preterm and term neonates in the neonatal period.Clinics (Sao Paulo, Brazil) · 2022Article
- Delivery Outcomes During the COVID-19 Pandemic as Reported in a Pregnancy Mobile App: Retrospective Cohort Study.JMIR pediatrics and parenting · 2021Article
- Maternal and Perinatal Determinants of Late Hospital Discharge Among Late Preterm Infants; A 5-Year Cross-Sectional Analysis.Frontiers in pediatrics · 2021Article
- Evaluation of a midwifery network to guarantee outpatient postpartum care: a mixed methods study.BMC health services research · 2020Article
- Umbilical cord blood bilirubins, gestational age, and maternal race predict neonatal hyperbilirubinemia.PloS one · 2018Article
- Newborn follow-up after discharge from a tertiary care hospital in the Western Cape region of South Africa: a prospective observational cohort study.Global health research and policy · 2018Article
- Damaged goods?: an empirical cohort study of blood specimens collected 12 to 23 hours after birth in newborn screening in California.Genetics in medicine : official journal of the American College of Medical Genetics · 2016Article
- A Hypothesis for Using Pathway Genetic Load Analysis for Understanding Complex Outcomes in Bilirubin Encephalopathy.Frontiers in neuroscience · 2016Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe length of postnatal hospital stay for healthy newborns remains controversial. Proponents of early hospital discharge claim that it is safe, decreases the risk of iatrogenic infection, promotes family bonding and attachment, and reduces hospitalization care and patient costs. Disadvantages include delayed breastfeeding, manifestation of new conditions affecting newborns after early discharge, and improper discharge planning.
aimThe main aim of the study was to compare early discharge versus late discharge with the risk of readmission. PATIENTS AND
methodsThe length of hospital stay was recorded for all healthy newborns and infants and followed by investigation of any medical problem arising after discharge. Factors associated with readmission to the hospital were analyzed by Chi square and Mantel-Haenszel Common Odds Ratio Estimate (OR) with Confidence Limits (CL).
resultsA total of 478 babies were enrolled, of which 307 were discharged ≤ 48 hours. The overall length of stay was 39 hours (1.6 days). Thirty-eight (7.9%) newborns were re-hospitalized, with the most common cause being neonatal jaundice. Factors associated with readmission for jaundice were breastfeeding (OR: 10.3 CL3.10to32.20) and length of stay ≤ 48 hours (OR: 13.8, CL4.04 to 47.05).
conclusionHospital discharge at any time ≤ 48 hours significantly increases the risk for readmission as well as the risk for readmission due to hyperbilirubinemia. Planning and implementing a structured program for follow up of infants who are discharged ≤ 48 hours are vital in order to decrease the risk for readmission, morbidity and neonatal mortality.
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