Related Experiment Video

Updated: Jun 3, 2025

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
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Published on: August 25, 2014

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Low readmission rates during neonatal homecare: Gestational age and bronchopulmonary dysplasia as key predictors

Charlotte Hoeyer Rosenbaek1, Gitte Zachariassen1,2, Bente Hoest3

  • 1Hans Christian Andersen Children's Hospital, Odense University Hospital, Odense, Denmark.

Acta Paediatrica (Oslo, Norway : 1992)
|January 8, 2025
PubMed

Insights

Neonatal homecare is effective, but infants with a gestational age under 32 weeks or bronchopulmonary dysplasia face higher readmission risks. Telemedicine and outpatient visits are as safe as home visits for neonatal readmissions.

Area of Science:

  • Neonatal care
  • Pediatric homecare
  • Health services research

Background:

  • Homecare for neonates has advanced significantly.
  • Analysis of different contact methods in neonatal homecare is limited.
  • Understanding predictors of readmission is crucial for optimizing care.

Purpose of the Study:

  • To identify predictors of readmission in infants receiving homecare.
  • To compare the effectiveness of home visits, telemedicine, and outpatient visits in neonatal homecare.

Main Methods:

  • Retrospective study of 4827 infants receiving homecare from 2015-2022 in Denmark.
  • Data extracted from local databases and medical records of readmitted infants.
  • Analysis of causes and predictors of readmission, and exclusive breastfeeding rates.

Main Results:

  • The unplanned readmission rate was 4.6%.
  • Gestational age <32 weeks and bronchopulmonary dysplasia were significant predictors of readmission.
  • No significant difference in readmission rates was observed between home visits, telemedicine, and outpatient visits.

Conclusions:

  • Homecare is viable for preterm and term infants, with specific attention needed for those with gestational age <32 weeks or bronchopulmonary dysplasia.
  • Telemedicine and outpatient visits are comparable to home visits regarding readmission and exclusive breastfeeding outcomes.
Abstract

Keywords:
breastfeedinghomecareneonatal unitpreterm infantsreadmission

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