ArticlePaediatric and perinatal epidemiology2017
Newborn Length of Stay and Risk of Readmission.
Article in Paediatric and perinatal epidemiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 3 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Risk factors associated with 31-day unplanned hospital readmission in newborns: a systematic review.European journal of pediatrics · 2023Pooled it
- Early postnatal discharge from hospital for healthy mothers and term infants.The Cochrane database of systematic reviews · 2021Pooled it
- Risk factors associated with paediatric unplanned hospital readmissions: a systematic review.BMJ open · 2019Pooled it
- Effects of a Smartphone-Based Out-of-Hospital Screening App for Neonatal Hyperbilirubinemia on Neonatal Readmission Rates and Maternal Anxiety: Randomized Controlled Trial.Journal of medical Internet research · 2022Trial
- Respiratory insufficiency, feeding issues and length of stay in 33-36 weeks post-menstrual age infants.Pediatric research · 2026Article
- 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
- Evaluation of discharge training given by nurses to postpartum mothers to artificial intelligence: an alternative approach to health care.BMC nursing · 2025Article
- Trends in adverse perinatal outcomes and associated hospitalisations, emergency department presentations, and healthcare costs from birth to early childhood in the Northern Territory, Australia: A two-decade population-based study.PLOS global public health · 2025Article
- Supporting infants and parents in the perinatal period (SIPP): Co-creating an improved journey.PloS one · 2025Article
- Development and validation of a novel risk classification tool for predicting long length of stay in NICU blood transfusion infants.Scientific reports · 2024Article
- Article
- Factors contributing to neonatal readmissions to a level 4 hospital within 28 days after birth.Journal of paediatrics and child health · 2022Article
- Association of early discharge with increased likelihood of hospital readmission in first four weeks for vaginally delivered neonates.Acta paediatrica (Oslo, Norway : 1992) · 2022Article
- Length of stay and influencing factors of NICU in the Western Hunan, an underdeveloped area of China: A 9-year retrospective study.The Journal of international medical research · 2022Article
- Current status of unplanned readmission of neonates within 31 days after discharge from the neonatal intensive care unit and risk factors for readmission.Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2022Article
- Risk factors and prediction score model for unplanned readmission among neonates with NRDS under one year of age: A retrospective cohort study.Frontiers in pediatrics · 2022Article
- Article
- Direct costs of neonatal infection acquired in the community in full-term newborns and low risk at birth, Cundinamarca, ColombiaBiomedica : revista del Instituto Nacional de Salud · 2021Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundEvidence on the association between newborn length of hospital stay (LOS) and risk of readmission is conflicting. We compared methods for modelling this relationship, by gestational age, using population-level hospital data on births in England between 2005-14.
methodsThe association between LOS and unplanned readmission within 30 days of postnatal discharge was explored using four approaches: (i) modelling hospital-level LOS and readmission rates; (ii) comparing trends over time in LOS and readmission; (iii) modelling individual LOS and adjusted risk of readmission; and (iv) instrumental variable analyses (hospital-level mean LOS and number of births on the same day).
resultsOf 4 667 827 babies, 5.2% were readmitted within 30 days. Aggregated data showed hospitals with longer mean LOS were not associated with lower readmission rates for vaginal (adjusted risk ratio (aRR) 0.87, 95% confidence interval (CI) 0.66, 1.13), or caesarean (aRR 0.89, 95% CI 0.72, 1.12) births. LOS fell by an average 2.0% per year for vaginal births and 3.4% for caesarean births, while readmission rates increased by 4.4 and 5.1% per year respectively. Approaches (iii) and (iv) indicated that longer LOS was associated with a reduced risk of readmission, but only for late preterm, vaginal births (34-36 completed weeks' gestation).
conclusionsLonger newborn LOS may benefit late preterm babies, possibly due to increased medical or psychosocial support for those at greater risk of potentially preventable readmissions after birth. Research based on observational data to evaluate relationships between LOS and readmission should use methods to reduce the impact of unmeasured confounding.
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