Evidence map›Paper›PMID 38914962›Full record

ArticleBMC primary care2024

Newborn readmissions and virtual primary care delivery: a population-based case-control study.

Eyal Cohen, Therese A Stukel, Xuesong Wang, Azmina Altaf, Monica Kopec, Ori Davidov, Tharani Raveendran, Natasha R Saunders

Abstract read
In one paragraph

Article in BMC primary care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Eyal CohenThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada.
Therese A StukelICES, Toronto, Canada.
Xuesong WangICES, Toronto, Canada.
Azmina AltafICES, Toronto, Canada.
Monica KopecChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.
Ori DavidovDepartment of Statistics, University of Haifa, Haifa, Israel.
Tharani RaveendranChild Health Evaluative Sciences, SickKids Research Institute, Toronto, Canada.
Natasha R SaundersThe Hospital for Sick Children, 555 University Avenue, Toronto, ON, M5G 1X8, Canada. Natasha.saunders@sickkids.ca.

Funding

CIHR UIP-178845
6 · The paper itself

Abstract

backgroundEarly post-discharge assessments for newborns are recommended. Virtual care has become more prevalent during the pandemic, providing an opportunity to better understand its impact on the quality of post-discharge newborn care. The objective of this study was to understand whether primary care visit modality (in-person vs. virtual) is associated with early newborn hospital readmissions and emergency department (ED) visits.

methodsWe conducted a population-based, case-control study using linked health administrative databases between September 1, 2020 and March 31, 2022 in Ontario, Canada. We compared the modality of primary care visits among cases (hospital readmission within 14 days of life) and controls (newborns without a readmission), matched on infant sex, gestational age, and maternal parity. We included an alternative definition of cases as a composite of either a newborn hospital readmission or emergency department (ED) visit or in-hospital death within the first 14 days of life. Conditional logistic regression models were used to model odds ratios (ORs), comparing those exposed to a virtual visit versus in-person visit, adjusting for infant birth weight, birth hospitalization length of stay, neighbourhood level material deprivation, rurality and presence of active maternal comorbidities.

resultsAmong 73,324 eligible newborns, 2,220 experienced a hospital readmission within 14 days of life and were matched to 8,880 controls. Jaundice was the primary reason for readmission (75% of readmissions). Compared to newborns who were seen in-person post-discharge, newborns who were seen virtually had higher odds of hospital readmission (adjusted odds ratio [aOR] 1.41 (95% CI 1.09, 1.83); the magnitude of effect was not different using the composite outcome (aOR 1.35, 95% CI 1.05, 1.75).

conclusionsNewborns who receive a virtual post-discharge visit are more likely than those who receive an in-person visit to require hospital readmission.

Indexed as

Emergency Service, HospitalPatient ReadmissionPrimary Health CareCase-Control StudiesFemaleHumansInfant, NewbornMaleOntarioPatient DischargeTelemedicineEmergency departmentHospitalizationInfantIn-personNewbornPediatricsPrimary careReadmissionVirtual

Identifiers

PMID38914962
PMCPMC11194968

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.