Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Do longer postpartum stays reduce newborn readmissions? Analysis using instrumental variables.

J D Malkin1, M S Broder, E Keeler

  • 1Covance Health Economics and Outcomes Services Inc., Gaithersburg, MD 20878-5355, USA.

Health Services Research
|December 29, 2000
PubMed
Summary

Extending postpartum hospital stays for newborns can significantly reduce readmission rates. A 12-hour increase in stay is linked to a 0.6% drop in readmissions, a larger effect than previously estimated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Consensus guidance for prevention and management of nausea and vomiting in patients treated with zolbetuximab + chemotherapy: a RAND/UCLA modified Delphi panel study.

ESMO gastrointestinal oncology·2026
Same author

Network meta-analysis of lorcaserin and oral hypoglycaemics for patients with type 2 diabetes mellitus and obesity.

Clinical obesity·2017
Same author

Burden of skeletal-related events in prostate cancer: unmet need in pain improvement.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer·2014
Same author

Treatments, complications, and healthcare utilization associated with acromegaly: a study in two large United States databases.

Pituitary·2013
Same author

Cost-effectiveness of nutrition interventions in nursing home residents: a pilot intervention.

The journal of nutrition, health & aging·2010
Same author

Improvement in patient-reported outcomes in a rituximab trial in patients with severe rheumatoid arthritis refractory to anti-tumor necrosis factor therapy.

Arthritis and rheumatism·2008

Area of Science:

  • Maternal and Child Health
  • Healthcare Policy
  • Biostatistics

Background:

  • Newborn readmissions pose a significant healthcare challenge.
  • Previous studies may have underestimated the impact of hospital stay duration due to unobserved factors.

Purpose of the Study:

  • To investigate the causal effect of postpartum length of stay on newborn readmission rates.
  • To address potential biases in standard statistical methods using instrumental variables.

Main Methods:

  • Utilized a secondary dataset of Washington state births from 1989-1990.
  • Employed instrumental variables (IVs) analysis, using hour of birth and method of delivery to control for unobserved heterogeneity.
  • Analyzed data from 108,551 newborns.

Related Experiment Videos

Main Results:

  • Standard statistical methods are biased by unmeasured characteristics of newborns and their lengths of stay.
  • A 12-hour increase in postpartum length of stay was associated with a 0.6 percentage point reduction in newborn readmission rates.
  • The IV analysis revealed a readmission reduction twice as large as that estimated by non-IV methods.

Conclusions:

  • Increasing postpartum hospital stays for newborns may lead to a substantial decrease in readmission rates.
  • The positive impact of extended hospital stays on reducing newborn readmissions is likely greater than previously recognized.