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  1. Use of hospital-based services in the first three months of life : Impact of an early discharge program.

    Article - En anglais

    Objective 

    To assess the effect of an early discharge program on the use of hospital-based health care services in the first 3 months of life.

    Design 

    Retrospective cohort study.

    Setting 

    Metropolitan university hospital and a children's hospital.

    Patients 

    Term infants cared for in a single term nursery, before and after implementation of an early discharge program.

    Intervention 

    Early discharge program.

    Methods 

    Linking of the birth hospital and the children's hospital records and chart review.

    Outcome measures 

    Pattern of emergency department visits and rehospitalizations in the first 3 months of life.

    Results 

    The early discharge group had a shorter stay, 32 ± 21 hours (mean ± SD) than the control group (48 ± 22 hours).

    There was no effect of early discharge on mean age at rehospitalization, rehospitalization rate, or reason for rehospitalization.

    Twenty-eight percent of infants in both study and control groups had at least one emergency department visit by 3 months of age.

    There was no difference between study and control groups in mean age or frequency of emergency department visits.

    Maternal age and race had a significant effect on the odds of visiting the emergency department.

    For any maternal age, nonwhite mothers were more likely to visit the emergency department. (...)

    Mots-clés Pascal : Relation mère enfant, Nouveau né, Homme, Hôpital, Nursing, Aide thérapeutique, Expérience professionnelle, Infirmier, Evaluation, A domicile

    Mots-clés Pascal anglais : Mother child relation, Newborn, Human, Hospital, Nursing, Therapeutic assistance, Professional experience, Nurse, Evaluation, At home

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 97-0188391

    Code Inist : 002B30A05. Création : 21/05/1997.