PMID: 9434990Jan 22, 1998Paper

Boomerang babies: emergency department utilization by early discharge neonates

Pediatric Emergency Care
A D SacchettiI Bihl

Abstract

Since 1987 the average length of stay for infants following hospital delivery has decreased 1.8 days. This study was undertaken to evaluate the null hypothesis that early discharge of newborns from nurseries does not result in increased emergency department (ED) utilization during the first 10 days of life. SITE: Thirty community EDs, one university ED. Retrospective review of ED visits of patients two to 10 days of age from 1989 to 1995. The absolute number of ED neonatal visits (NVs) was compared to the total number of ED visits for each year and the ratio of NV/10,000 ED visits determined. The disposition and diagnosis of each patient was noted, and the number and percent of infants admitted to the hospital calculated. A total of 3.1 million ED visits were reviewed, and 2094 NVs identified. The ratio of NV/10,000 ED visits increased from 4.3 in 1989 to 7.8 in 1995 (P < 0.001), while the average length of stay for deliveries decreased from 2.79 days to 1.85 days. The mean percent of patients admitted from the ED was 10.3% and showed no statistically significant changes over the study period. The majority of visits were for minor medical or educational problems. The null hypothesis is rejected. Early discharge of neonates does...Continue Reading

Citations

Jul 3, 2004·Pediatric Emergency Care·T J T KennedyK A Jangaard
Apr 22, 2009·Pediatric Emergency Care·Cláudia Silva CaladoJosé Francisco Maio
Sep 20, 2011·Pediatric Emergency Care·Hamilton P SchwartzRichard M Ruddy
Jan 9, 2007·Journal of Paediatrics and Child Health·Setthy UngMelissa Leung
Aug 14, 2012·Archives de pédiatrie : organe officiel de la Sociéte française de pédiatrie·I ClaudetE Grouteau
Nov 20, 2013·Archives of Disease in Childhood·C F Flanagan, M Stewart
Sep 13, 2003·The Journal of Pediatrics·Terry C WallM Jean Norris
Oct 30, 1998·Clinical Pediatrics·A R Spitzer
Nov 4, 2000·Clinical Pediatrics·G L JacksonA R Laptook
Jul 11, 2000·Pediatric Emergency Care·K R MillarG I Joubert
Dec 1, 2001·Paediatrics & Child Health·L K PurcellK A Jangaard
Dec 7, 2018·Pediatric Emergency Care·Helena FerreiraIsolina Aguiar
Apr 25, 2014·Pediatric Emergency Care·Henry C LeeRalph Gonzales

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