Evidence map›Paper›PMID 39674835›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Transitioning medically complex infants home: lessons learned from quality improvement efforts.

Dan Benscoter, Kristin Voos, Christine L Schuler, Andrea J Hoberman, Heather C Kaplan, Pierce Kuhnell, Carole M Lannon

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Dan BenscoterDivision of Pulmonary Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Kristin VoosRainbow Babies and Children's Hospital and University Hospitals Cleveland Medical Center, Cleveland, OH, USA.
Christine L SchulerDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Andrea J HobermanJames M. Anderson Center for Health Systems Excellence, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Heather C KaplanDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA.ORCID http://orcid.org/0000-0003-0487-2781
Pierce KuhnellDivision of Biostatistics and Epidemiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Carole M LannonDepartment of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH, USA. carole.lannon@cchmc.org.ORCID http://orcid.org/0000-0002-8049-7998

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDecrease: 1) time from tracheostomy or gastrostomy tube placement to discharge home, and 2) avoidable readmissions within 7 days post-discharge, for medically complex infants. STUDY

designFive neonatology units and representatives from Medicaid and Managed Care Organizations participated. Measures included length of stay (LOS) from surgery to discharge, readmissions, and time from surgery to identifying home nursing. We used statistical process control (SPC) methods and bivariate tests for post-hoc before-after comparisons.

resultAmong 421 infants, no avoidable readmissions occurred in the final 25 months. LOS and all-cause readmissions were unchanged (SPC). LOS changes were variable, ranging from -39.5 days (tracheostomy and ventilator) to +30.8 days (tracheostomy without ventilator) and not significant. Median time to identify home nursing was 70.1 days (range 2-428).

conclusionAlthough lack of skilled home nursing precluded improving transitions from NICU to home in medically complex infants, all avoidable readmissions were eliminated for 25 months.

Indexed as

Patient DischargePatient ReadmissionQuality ImprovementFemaleGastrostomyHumansInfantInfant, NewbornIntensive Care Units, NeonatalLength of StayMaleMedicaidTracheostomyUnited States

Identifiers

PMID39674835

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

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.