Problem Identification in Apparently Well Neonates: Implications for Early Discharge

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 pr...

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Bibliographic Details
Published in:Clinical pediatrics 2000-10, Vol.39 (10), p.581-590
Main Authors: Jackson, Gregory L., Kennedy, Kathleen A., Sendelbach, Dorothy M., Talley, Dale H., Aldridge, Cheryl L., Vedro, Debra A., Laptook, Abbot R.
Format: Article
Language:English
Subjects:
Babies
Biological and medical sciences
Child Health Services - organization & administration
Delivery. Postpartum. Lactation
Discharge
Ethnic Groups
Feasibility Studies
Gynecology. Andrology. Obstetrics
Health Status
Hospitals
Humans
Infant, Newborn
Maternal, fetal and perinatal monitoring
Medical diagnosis
Medical sciences
Patient Discharge
Poverty
Prospective Studies
Studies
Urban areas
Urban Population
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Summary: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.
ISSN:0009-9228
1938-2707
DOI:10.1177/000992280003901003