首页|Association of early follow-up visits with reduced hospital readmissions of newborns:a French population-based data-linkage study

Association of early follow-up visits with reduced hospital readmissions of newborns:a French population-based data-linkage study

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Background Newborn care guidelines recommend assessments within a week of discharge from maternity care.However,the optimal timing and effectiveness to prevent neonatal hospital readmission are debated.This study aimed to determine the association between early follow-up visits(EFVs)within three days of postpartum discharge and hospital readmission of newborns up to 15 days of life.Methods This population-based data-linkage study used data from the French National Health Care Database."Healthy"singleton term infants with a gestational age(GA)of ≥ 36 weeks,born between January 1,2017,and November 30,2018,in Southern France,were included.A multivariate regression analysis was performed.Results Among the 67,359 included infants,1519(2.25％)were hospitalized.The principal causes of hospitalization were infectious diseases(42.4％)and jaundice or growth/nutrition disorders(36.1％).Hospitalized infants were more likely to be born to young and socioeconomically deprived mothers,to be male(54.4％vs.50.6％,P＜0.001),or born early(GA＜38 weeks;28.5％vs.20.5％,P＜0.001).They received 6％less EFVs than non-hospitalized infants(63.7％vs.67.8％,P＜0.001).The multivariable regression logistic analysis revealed that infants who received EFVs had 13％lower odds of being hospitalized than infants without EFVs,with an adjusted odds ratio of 0.87(95％confidence interval=0.78-0.96;P＜0.01).Conclusion EFVs within three days were associated with a 13％reduction in the rate of neonatal hospital readmission.Therefore,EFVs should be implemented to improve infant health and reduce healthcare costs.

BreastfeedingBronchiolitisNeonatal jaundicePostpartum dischargeSocioeconomic status

Camille Ravel、Marion Nimal、Steve Nauleau、David Lapalus、Olivier Bernard、Elise Gras、Sophie Tardieu、Farid Boubred

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APHM,Hospital University La Conception,Neonatal Unit,Service de Médecine Néonatale,147 Boulevard Baille,13005 Marseille,France

Regional Health Agency,Provence-Alpes-Côte d'Azur,France

APHM,Public Health and Medical Information Department,EA 3279,CEReSS-Health Service Research and Quality of Life Centre,Marseille,France

Aix-Marseille University,INSERM,INRAE,C2VN,Marseille,France

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2024

10.1007/s12519-024-00841-y

世界儿科杂志(英文版)

世界儿科杂志(英文版)

CSTPCD
ISSN：
年,卷(期)：2024.20(11)