Use of hospital-based services in the first three months of life : Impact of an early discharge program.
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.
Retrospective cohort study.
Metropolitan university hospital and a children's hospital.
Term infants cared for in a single term nursery, before and after implementation of an early discharge program.
Early discharge program.
Linking of the birth hospital and the children's hospital records and chart review.
Pattern of emergency department visits and rehospitalizations in the first 3 months of life.
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
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0188391
Code Inist : 002B30A05. Création : 21/05/1997.