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Determinants of Neonatal Readmission in Healthy Term Infants: Results from a Nested Case-Control Study
Angelita M Hensman1,2,3, Debra A Erickson-Owens1,3, Mary C Sullivan3
1Department of Pediatrics, Women and Infants Hospital, Providence, Rhode Island.
American Journal of Perinatology
|March 3, 2020
Summary
Neonatal readmission for healthy newborns occurs in 2.2% of cases, often linked to early gestational age and jaundice. Identifying modifiable factors before discharge can help reduce these readmissions.
Area of Science:
- Neonatal care
- Pediatric readmission research
- Public health
Background:
- Neonatal readmission is a significant concern in pediatric healthcare.
- Identifying risk factors is crucial for preventative strategies.
Purpose of the Study:
- To determine the incidence of neonatal readmission in healthy term infants.
- To identify factors associated with these readmissions.
Main Methods:
- A nested case-control study was conducted.
- Infants were matched by date of birth and maternal age.
- Hierarchical conditional logistic regression was used for data analysis.
Main Results:
- The incidence of neonatal readmission was 2.2%.
- Factors associated with readmission included earlier gestational age, jaundice on day two, and maternal group B streptococcus chemoprophylaxis.
- Cesarean delivery and formula intake were protective.
Conclusions:
- Modifiable determinants identified prior to discharge may reduce neonatal readmissions.
- Policies should encompass readmissions to all hospitals, not just the birth hospital, for accurate incidence tracking.
