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Timing of initial well-child visit and readmissions of newborns

Julie Shakib1, Karen Buchi1, Elizabeth Smith1

  • 1Department of Pediatrics, University of Utah School of Medicine, Salt Lake City, Utah; and.

Pediatrics
|February 4, 2015
PubMed

Insights

Early well-child visits for newborns are recommended but infrequently performed. However, these early check-ups are linked to a 15% reduction in infant readmissions, highlighting their importance.

Area of Science:

  • Neonatal care
  • Pediatric health outcomes
  • Healthcare system analysis

Background:

  • Current recommendations advise early well-child visits (WCV) within 48 hours or 3-5 days post-discharge from well-baby nurseries (WBN).
  • The primary goal of these early WCVs is to prevent newborn readmissions, though their effectiveness remains unproven.

Purpose of the Study:

  • To assess the frequency of early WCVs in newborns.
  • To compare readmission rates between newborns who received early WCVs and those who did not.

Main Methods:

  • Analysis of data from a large Utah healthcare system on newborns with estimated gestational age ≥34 weeks.
  • Comparison of readmission rates based on whether an early WCV was performed.

Main Results:

  • Out of 79,720 newborns, 63% were discharged within 48 hours. Only 15% of these had a WCV within 72 hours.
  • Newborns with timely WCVs had a readmission rate of 15.7 per 1000, versus 18.4 per 1000 for those with later visits (OR 0.85).

Conclusions:

  • The study found a low frequency of adherence to recommended early WCV timing.
  • Early WCVs demonstrated an association with a 15% reduction in newborn readmission rates.
Abstract

Keywords:
newbornsreadmissionswell child visits

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