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

Gestational age and bronchopulmonary dysplasia as key predictors
Authors: Charlotte Hoeyer Rosenbaek; Gitte Zachariassen; Bente Hoest; Gitte Holst Hahn; Joan Neergaard Larsen; Tenna Gladbo Salmonsen; Malene Horskjaer; +1 Authors

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

Abstract

AbstractAimHomecare for neonates has advanced, but combative analysis of contact methods remains unexplored. The aim was to identify predictors of readmission during homecare and to compare home visit, telemedicine or outpatient visit.MethodsThis retrospective study included infants receiving homecare from 1 January 2015 to 31 December 2022. Data were obtained from local databases from six neonatal units in Denmark. The medical records of readmitted infants were reviewed. The main outcome were causes and predictors of readmission during homecare. The secondary outcome was exclusive breastfeeding at discharge.ResultsThe cohort consisted of 4827 infants (boys = 54.0%). The rate of unplanned readmissions was 4.6%. A gestational age (GA) <32 weeks (p‐value <0.01) or bronchopulmonary dysplasia (BPD) (p‐value <0.01) were predictors of readmission. There was no difference in unplanned readmissions based on contact method (p‐value = 0.46 for telemedicine, p‐value = 0.11 for outpatient visit). The overall exclusive breastfeeding rate at discharge from homecare was 64.1%.ConclusionHomecare can be provided for preterm and term infants while establishing oral feeding, with caution on infants with a GA < 32 or BPD. All types of contact methods during homecare investigated can be provided equally in relation to readmission and exclusive breastfeeding.

Keywords

Male, Bronchopulmonary Dysplasia/therapy, breastfeeding, homecare, readmission, Denmark, Infant, Newborn, Infant, Gestational Age, Newborn, Patient Readmission, Home Care Services, Breast Feeding, Home Care Services/statistics & numerical data, neonatal unit, Humans, Original Article, Female, preterm infants, Patient Readmission/statistics & numerical data, Breast Feeding/statistics & numerical data, Premature, Infant, Premature, Bronchopulmonary Dysplasia, Retrospective Studies

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
1
Average
Average
Average
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