Problem Identification in Apparently Well Neonates: Implications for Early Discharge
Open Access
- 1 October 2000
- journal article
- research article
- Published by SAGE Publications in Clinical Pediatrics
- Vol. 39 (10), 581-590
- https://doi.org/10.1177/000992280003901003
Abstract
The frequency, time of identification, and type of problems of newborns in an urban indigent population were prospectively studied during their hospital stay to evaluate feasibility of early hospital discharge. Eight percent (563) of 7,021 term and near-term low-risk infants developed one or more predefined problems. Of those with problems, 42.1% received therapy and/or a higher level of care. Tachypnea, temperature instability, and cyanotic episodes were the most frequently treated problems. Nearly 69% of all problems were detected after the initial examination, and 31% developed problems after 24 hours of age; 5% were transferred to the NICU. Problems occurring after 24 hours of age emphasize the need for follow-up within days after hospital discharge in this population.Keywords
This publication has 33 references indexed in Scilit:
- Use of hospital-based services in the first three months of life: Impact of an early discharge programThe Journal of Pediatrics, 1997
- 24-Hour Mother-Infant Discharge With a Follow-up Home Health Visit: Results in a Selected Medicaid PopulationObstetrics & Gynecology, 1996
- The impact of early obstetric discharge on newborn health careCurrent Opinion in Pediatrics, 1996
- A Critical Review of Studies of Newborn Discharge TimingClinical Pediatrics, 1995
- Association between duration of neonatal hospital stay and readmission rateThe Journal of Pediatrics, 1995
- Controversies of early discharge of infants from the well-newborn nurseryCurrent Opinion in Pediatrics, 1995
- Early Hospital Discharge and the Timing Of Newborn Metabolic ScreeningClinical Pediatrics, 1993
- Newborn hospitalization: A closer lookThe Journal of Pediatrics, 1988
- Outcomes of Postpartum Early Discharge, 1960–1986 A Comparative ReviewBirth, 1987
- Postpartum early discharge: An inner city experienceJournal of Nurse-Midwifery, 1981