Newborn Discharge Timing and Readmissions: California, 1992–1995

Danielsen, Beate; Castles, Anne G.; Damberg, Cheryl L.; Gould, Jeffrey B.

doi:10.1542/peds.106.1.31

Cited by 103 publications

(110 citation statements)

References 13 publications

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“…2,4,12,19 Two previous studies responded to this difficulty by comparing deaths among newborns with stays of Ͻ30 hours to deaths among newborns with stays of 30 to 78 hours. 2,12 Following a previous study of newborn readmissions, 6 however, we estimated LOS in hours using the known hour of birth and number of nights stayed along with assumptions about the time of discharge.…”

Section: Estimation Strategymentioning

confidence: 99%

“…Several studies have found positive associations between short postpartum stays and neonatal hospital readmission. [2][3][4][5][6] There is also evidence that short stays increase neonatal mortality. Of the 4 million infants born in the United States each year, approximately 20 000 (5 of 1000) die during the neonatal period (ie, during the first 28 days of life), and another 10 000 die after the neonatal period but before their first birthday.…”

mentioning

confidence: 99%

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Postpartum Length of Stay and Newborn Health: A Cost-Effectiveness Analysis

et al. 2003

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ABSTRACT. Objective. To evaluate the cost-effectiveness of increasing lengths of brief postpartum hospitalizations.Methods. A cost-effectiveness model extrapolating from secondary data was used. Social costs in 2000 US dollars were estimated using several sources, including a randomized controlled trial, a retrospective study, and survey data. Life-years saved from reduced infant mortality were estimated from administrative data from Washington State. A total of 113 147 singleton newborns who were born in nonmilitary hospitals in Washington State in 1989 or 1990 and had postpartum stays short enough to be affected by length of stay legislation were studied. The cost-effectiveness of increases in postpartum lengths of stay similar to those that would occur if all mothers and singleton newborns used at least the time allotted to them under the federal length of stay legislation was measured.Results. Estimated lower-bound cost per newborn life-year saved was $19 800 (95% confidence interval: $11 600 -$61 300) when only neonatal deaths were considered. The corresponding upper-bound estimate was $94 800 (95% confidence interval: $55 200 -$286 800). The results were very sensitive to assumptions about the discount rate for future life-years and the time from birth during which averted deaths are considered (neonatal deaths, postneonatal infant deaths, or all infant deaths).Conclusions. At hospitals that do not experience additional capacity costs as a result of increased lengths of stay, lengthening short postpartum stays seems to be more cost-effective than many common health interventions and well below cost-effectiveness thresholds suggested by the literature. Even at hospitals that experience additional capacity costs, the cost-effectiveness of lengthening short postpartum stays seems to be roughly equal to the benchmark of $100 000 per quality-adjusted life-year suggested by the literature. Pediatrics 2003;111:e316 -e322. URL: http://www.pediatrics.org/cgi/content/full/111/4/e316; postpartum, length of stay, newborn, mortality, cost.

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Section: Estimation Strategymentioning

confidence: 99%

mentioning

confidence: 99%

Postpartum Length of Stay and Newborn Health: A Cost-Effectiveness Analysis

et al. 2003

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“…Shorter hospital stays for uncomplicated vaginal births have medical, economic, and social benefits, 89,90 and they are indicative of better overall health of the mother and newborn. 91 We found that infants born to mothers receiving HBPB had significantly shorter birth hospital stays.…”

Section: Discussionmentioning

confidence: 99%

Unconditional Prenatal Income Supplement and Birth Outcomes

et al. 2016

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“…16,17 Other frequently reported risk factors for readmission were Asian race, primiparity, associated maternal morbidities, shorter gestation or lower birth weight, instrumented vaginal delivery, and small size for gestational age. 13,[15][16][17][18] Close follow-up and better coordination of postdischarge care were important factors in decreasing the readmission rates. 13,17 Readiness for Discharge…”

Section: Risk Of Readmissionmentioning

confidence: 99%

“…13,[15][16][17][18] Close follow-up and better coordination of postdischarge care were important factors in decreasing the readmission rates. 13,17 Readiness for Discharge…”

Section: Risk Of Readmissionmentioning

confidence: 99%

Hospital Stay for Healthy Term Newborn Infants

Watterberg¹,

Aucott²,

Benitz³

et al. 2015

Pediatrics

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The hospital stay of the mother and her healthy term newborn infant should be long enough to allow identification of problems and to ensure that the mother is sufficiently recovered and prepared to care for herself and her newborn at home. The length of stay should be based on the unique characteristics of each mother-infant dyad, including the health of the mother, the health and stability of the newborn, the ability and confidence of the mother to care for herself and her newborn, the adequacy of support systems at home, and access to appropriate follow-up care in a medical home. Input from the mother and her obstetrical care provider should be considered before a decision to discharge a newborn is made, and all efforts should be made to keep a mother and her newborn together to ensure simultaneous discharge. PURPOSEThe purpose of this policy statement is to review issues related to length of stay and readmission of healthy term newborns and to identify specific criteria that should be met to ensure that discharge and subsequent follow-up are appropriate. BACKGROUND

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Newborn Discharge Timing and Readmissions: California, 1992–1995

Cited by 103 publications

References 13 publications

Postpartum Length of Stay and Newborn Health: A Cost-Effectiveness Analysis

Postpartum Length of Stay and Newborn Health: A Cost-Effectiveness Analysis

Unconditional Prenatal Income Supplement and Birth Outcomes

Hospital Stay for Healthy Term Newborn Infants

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