Observational studyPediatrics2022
Birth Hospital Length of Stay and Rehospitalization During COVID-19.
Observational study in Pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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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.
The trial behind it
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
13 citing papers in PubMed, 28 citations in OpenAlex.
- Trends in Postmenstrual Age at Discharge and Predictive Factors Among a Contemporary Cohort of Infants Born Preterm.The Journal of pediatrics · 2026Observational
- Length of gestation and postpartum visit attendance.Pregnancy (Hoboken, N.J.) · 2026Article
- Evaluating the American Society of Hematology quality measure on timeliness of analgesics for sickle cell disease pain crisis.Blood advances · 2026Article
- Age, Rather Than Social Vulnerability, Is Associated With Disparities in Prescription Patterns in Inflammatory Bowel Disease: An Epic Cosmos Study.Gastro hep advances · 2026Article
- The impact of the COVID-19 pandemic on phototherapy usage for neonatal hyperbilirubinemia.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Impact of COVID-19 on the Diagnosis of Coarctation of the Aorta in Infants.Pediatric cardiology · 2025Article
- Newborn readmissions and virtual primary care delivery: a population-based case-control study.BMC primary care · 2024Article
- Impact of COVID-19 on Perinatal Outcomes and Birth Locations in a Large US Metropolitan Area.Healthcare (Basel, Switzerland) · 2024Article
- Acute health care use among children during the first 2.5 years of the COVID-19 pandemic in Ontario, Canada: a population-based repeated cross-sectional study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 2024Article
- Inter-hospital Variation in COVID-19 Era Pediatric Hospitalizations by Age Group and Diagnosis.Hospital pediatrics · 2023Article
- Improved estimates of foetal growth are associated with perinatal outcomes: A latent modelling approach in a population-based birth cohort.Journal of global health · 2023Article
- Prenatal, Delivery and Postpartum Care Experiences among Black Women in Mississippi during COVID-19 Pandemic 2020-2021.Women (Basel, Switzerland) · 2023Article
- Assessing Impact of COVID-19 Pandemic on Receipt and Timeliness of Newborn Hearing Screening and Diagnostic Services Among Infants Born in Four States.Journal of early hearing detection and intervention · 2022Article
Corrections and comments
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Authors and funding
12 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTo determine if birth hospitalization length of stay (LOS) and infant rehospitalization changed during the coronavirus disease 2019 (COVID-19) era among healthy, term infants.
methodsRetrospective cohort study using Epic's Cosmos data from 35 health systems of term infants discharged ≤5 days of birth. Short birth hospitalization LOS (vaginal birth <2 midnights; cesarean birth <3 midnights) and, secondarily, infant rehospitalization ≤7 days after birth hospitalization discharge were compared between the COVID-19 (March 1 to August 31, 2020) and prepandemic eras (March 1 to August 31, 2017, 2018, 2019). Mixed-effects models were used to estimate adjusted odds ratios (aORs) comparing the eras.
resultsAmong 202 385 infants (57 110 from the COVID-19 era), short birth hospitalization LOS increased from 28.5% to 43.0% for all births (vaginal: 25.6% to 39.3%, cesarean: 40.1% to 61.0%) during the pandemic and persisted after multivariable adjustment (all: aOR 2.30, 95% confidence interval [CI] 2.25-2.36; vaginal: aOR 2.12, 95% CI 2.06-2.18; cesarean: aOR 3.01, 95% CI 2.87-3.15). Despite shorter LOS, infant rehospitalizations decreased slightly during the pandemic (1.2% to 1.1%); results were similar in adjusted analysis (all: aOR 0.83, 95% CI 0.76-0.92; vaginal: aOR 0.82, 95% CI 0.74-0.91; cesarean: aOR 0.87, 95% CI 0.69-1.10). There was no change in the proportion of rehospitalization diagnoses between eras.
conclusionsShort infant LOS was 51% more common in the COVID-19 era, yet infant rehospitalization within a week did not increase. This natural experiment suggests shorter birth hospitalization LOS among family- and clinician-selected, healthy term infants may be safe with respect to infant rehospitalization, although examination of additional outcomes is needed.
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