Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study

Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were dischar...

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Published in:Archives of disease in childhood 2005-02, Vol.90 (2), p.119-124
Main Authors: Oddie, S J, Hammal, D, Richmond, S, Parker, L
Format: Article
Language:English
Subjects:
Babies
Biological and medical sciences
Births
Body Weight
Breast feeding
early discharge
England
Epidemiologic Methods
Health aspects
Hospitals
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Newborn, Diseases - therapy
Infants
jaundice
Maternal Age
Maternity stays
Medical sciences
Mental Disorders
Miscellaneous
neonatal
Original
Patient Discharge - statistics & numerical data
Patient Readmission - statistics & numerical data
Pediatrics
Perinatal Care - methods
postpartum
Pregnancy
Public health. Hygiene
Public health. Hygiene-occupational medicine
Ratios
readmission
Regression (Statistics)
Regression analysis
Time Factors
Vagina
Young Children
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creator Oddie, S J
Hammal, D
Richmond, S
Parker, L
description Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were discharged on or before the first postnatal day. Rates of early discharge varied significantly between hospitals. Infants
doi_str_mv 10.1136/adc.2003.040766
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Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were discharged on or before the first postnatal day. Rates of early discharge varied significantly between hospitals. Infants &lt;2500 g at birth (adjusted odds ratio (AOR) 0.44, 95% CI 0.29 to 0.66), infants 35–37 weeks gestation at birth (AOR 0.65, 95% CI 0.49 to 0.86), and firstborn infants (AOR 0.09, 95% CI 0.08 to 0.10) were less likely to be discharged early. Women from more deprived areas were more likely to be discharged early (AOR 1.37, 95% CI 1.12 to 1.67). A total of 907 of 32 015 (2.8%) babies liveborn in the region were readmitted to hospital during 1998. Readmission rates varied significantly by hospital of birth but not by timing of discharge. Babies &lt;2500 g at birth (AOR 1.95, 95% CI 1.16 to 3.28) and babies born at 35–37 weeks gestation (AOR 1.72, 95% CI 1.15 to 2.57) were more likely to be readmitted. Breast fed babies were less likely to be readmitted (AOR 0.69, 95% CI 0.53 to 0.90). Infants initially discharged early were not more likely to be readmitted. Conclusions: Early discharge occurred variably in the Northern Region in 1998. It is not associated with readmission to hospital. Breast feeding is associated with lower rates of readmission to hospital.</description><identifier>ISSN: 0003-9888</identifier><identifier>EISSN: 1468-2044</identifier><identifier>DOI: 10.1136/adc.2003.040766</identifier><identifier>PMID: 15665161</identifier><identifier>CODEN: ADCHAK</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</publisher><subject>Babies ; Biological and medical sciences ; Births ; Body Weight ; Breast feeding ; early discharge ; England ; Epidemiologic Methods ; Health aspects ; Hospitals ; Humans ; Infant, Low Birth Weight ; Infant, Newborn ; Infant, Newborn, Diseases - therapy ; Infants ; jaundice ; Maternal Age ; Maternity stays ; Medical sciences ; Mental Disorders ; Miscellaneous ; neonatal ; Original ; Patient Discharge - statistics &amp; numerical data ; Patient Readmission - statistics &amp; numerical data ; Pediatrics ; Perinatal Care - methods ; postpartum ; Pregnancy ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Ratios ; readmission ; Regression (Statistics) ; Regression analysis ; Time Factors ; Vagina ; Young Children</subject><ispartof>Archives of disease in childhood, 2005-02, Vol.90 (2), p.119-124</ispartof><rights>Copyright 2005 Archives of Disease in Childhood</rights><rights>2005 INIST-CNRS</rights><rights>Copyright: 2005 Copyright 2005 Archives of Disease in Childhood</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b560t-cae7fb0a1ecbd6e0c254b92ab35b5228cd41d49d7a3378315d7ea7c03dae613e3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/1828249345/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/1828249345?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,21378,21394,27924,27925,33611,33612,33877,33878,43733,43880,53791,53793,74221,74397</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=16472065$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15665161$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oddie, S J</creatorcontrib><creatorcontrib>Hammal, D</creatorcontrib><creatorcontrib>Richmond, S</creatorcontrib><creatorcontrib>Parker, L</creatorcontrib><title>Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study</title><title>Archives of disease in childhood</title><addtitle>Arch Dis Child</addtitle><description>Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were discharged on or before the first postnatal day. Rates of early discharge varied significantly between hospitals. Infants &lt;2500 g at birth (adjusted odds ratio (AOR) 0.44, 95% CI 0.29 to 0.66), infants 35–37 weeks gestation at birth (AOR 0.65, 95% CI 0.49 to 0.86), and firstborn infants (AOR 0.09, 95% CI 0.08 to 0.10) were less likely to be discharged early. Women from more deprived areas were more likely to be discharged early (AOR 1.37, 95% CI 1.12 to 1.67). A total of 907 of 32 015 (2.8%) babies liveborn in the region were readmitted to hospital during 1998. Readmission rates varied significantly by hospital of birth but not by timing of discharge. Babies &lt;2500 g at birth (AOR 1.95, 95% CI 1.16 to 3.28) and babies born at 35–37 weeks gestation (AOR 1.72, 95% CI 1.15 to 2.57) were more likely to be readmitted. Breast fed babies were less likely to be readmitted (AOR 0.69, 95% CI 0.53 to 0.90). Infants initially discharged early were not more likely to be readmitted. Conclusions: Early discharge occurred variably in the Northern Region in 1998. It is not associated with readmission to hospital. Breast feeding is associated with lower rates of readmission to hospital.</description><subject>Babies</subject><subject>Biological and medical sciences</subject><subject>Births</subject><subject>Body Weight</subject><subject>Breast feeding</subject><subject>early discharge</subject><subject>England</subject><subject>Epidemiologic Methods</subject><subject>Health aspects</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Infant, Low Birth Weight</subject><subject>Infant, Newborn</subject><subject>Infant, Newborn, Diseases - therapy</subject><subject>Infants</subject><subject>jaundice</subject><subject>Maternal Age</subject><subject>Maternity stays</subject><subject>Medical sciences</subject><subject>Mental Disorders</subject><subject>Miscellaneous</subject><subject>neonatal</subject><subject>Original</subject><subject>Patient Discharge - statistics &amp; numerical data</subject><subject>Patient Readmission - statistics &amp; numerical data</subject><subject>Pediatrics</subject><subject>Perinatal Care - methods</subject><subject>postpartum</subject><subject>Pregnancy</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Ratios</subject><subject>readmission</subject><subject>Regression (Statistics)</subject><subject>Regression analysis</subject><subject>Time Factors</subject><subject>Vagina</subject><subject>Young Children</subject><issn>0003-9888</issn><issn>1468-2044</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>CJNVE</sourceid><sourceid>M0P</sourceid><recordid>eNqFkk1v1DAQhiMEosvCmRuyhOCAlK0_EsfhgFRWLSD6IQGlR2tiO4m32XixE8T-A342XrK0hQunkf0-M5p39CbJU4IXhDB-CFotKMZsgTNccH4vmZGMi5TiLLufzHBU0lIIcZA8CmGFMaFCsIfJAck5zwkns-TnMfhui7QNqgXfGAS9Rt6AXtsQrOvR4FDrwsYO0CEbn61BtfVhQGvXDy1yNepsbf5I587H4nv0yTS77ijvvi8_Ij162zeIlKV4jQApCAYp10YehWHU28fJgxq6YJ7s6zy5PDn-snyfnl68-7A8Ok2rnOMhVWCKusJAjKo0N1jRPKtKChXLq5xSoXRGdFbqAhgrBCO5LgwUCjMNhhNm2Dx5M83djNXaaGX6wUMnN96uwW-lAyv_VnrbysZ9l6SgmBZZHPByP8C7b6MJg4ynUqbroDduDJIXrOAs5xF8_g-4cqPvozlJBBU0K1mWRyqdqAY6I22v4lnNj0G5rjONkdH78kIeEZZHnkdH8-Rw4pV3IXhT36xOsNxlQsZMyF0m5JSJ2PHsruNbfh-CCLzYAxAUdLWHXtlwy_EsWud3VrUhrnijg7_-bTqX51-X8vOVuKJvz07kWeRfTXy1Xv13y1-mgduX</recordid><startdate>20050201</startdate><enddate>20050201</enddate><creator>Oddie, S J</creator><creator>Hammal, D</creator><creator>Richmond, S</creator><creator>Parker, L</creator><general>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</general><general>BMJ</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88I</scope><scope>8A4</scope><scope>8AF</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>LK8</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20050201</creationdate><title>Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study</title><author>Oddie, S J ; Hammal, D ; Richmond, S ; Parker, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b560t-cae7fb0a1ecbd6e0c254b92ab35b5228cd41d49d7a3378315d7ea7c03dae613e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Babies</topic><topic>Biological and medical sciences</topic><topic>Births</topic><topic>Body Weight</topic><topic>Breast feeding</topic><topic>early discharge</topic><topic>England</topic><topic>Epidemiologic Methods</topic><topic>Health aspects</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Infant, Low Birth Weight</topic><topic>Infant, Newborn</topic><topic>Infant, Newborn, Diseases - therapy</topic><topic>Infants</topic><topic>jaundice</topic><topic>Maternal Age</topic><topic>Maternity stays</topic><topic>Medical sciences</topic><topic>Mental Disorders</topic><topic>Miscellaneous</topic><topic>neonatal</topic><topic>Original</topic><topic>Patient Discharge - statistics &amp; numerical data</topic><topic>Patient Readmission - statistics &amp; numerical data</topic><topic>Pediatrics</topic><topic>Perinatal Care - methods</topic><topic>postpartum</topic><topic>Pregnancy</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Ratios</topic><topic>readmission</topic><topic>Regression (Statistics)</topic><topic>Regression analysis</topic><topic>Time Factors</topic><topic>Vagina</topic><topic>Young Children</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oddie, S J</creatorcontrib><creatorcontrib>Hammal, D</creatorcontrib><creatorcontrib>Richmond, S</creatorcontrib><creatorcontrib>Parker, L</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>STEM Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Natural Science Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>British Nursing Database</collection><collection>ProQuest Central Essentials</collection><collection>Biological Science Collection</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>ProQuest Biological Science Collection</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest Biological Science Journals</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Archives of disease in childhood</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oddie, S J</au><au>Hammal, D</au><au>Richmond, S</au><au>Parker, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study</atitle><jtitle>Archives of disease in childhood</jtitle><addtitle>Arch Dis Child</addtitle><date>2005-02-01</date><risdate>2005</risdate><volume>90</volume><issue>2</issue><spage>119</spage><epage>124</epage><pages>119-124</pages><issn>0003-9888</issn><eissn>1468-2044</eissn><coden>ADCHAK</coden><abstract>Aims: To study the frequency and associations of early postpartum discharge and infant readmission to hospital. Methods: Infants readmitted to hospital during the first 28 days of life in 1998 in the Northern Region of the UK were studied. Results: A total of 4743 of 11 338 (42%) babies were discharged on or before the first postnatal day. Rates of early discharge varied significantly between hospitals. Infants &lt;2500 g at birth (adjusted odds ratio (AOR) 0.44, 95% CI 0.29 to 0.66), infants 35–37 weeks gestation at birth (AOR 0.65, 95% CI 0.49 to 0.86), and firstborn infants (AOR 0.09, 95% CI 0.08 to 0.10) were less likely to be discharged early. Women from more deprived areas were more likely to be discharged early (AOR 1.37, 95% CI 1.12 to 1.67). A total of 907 of 32 015 (2.8%) babies liveborn in the region were readmitted to hospital during 1998. Readmission rates varied significantly by hospital of birth but not by timing of discharge. Babies &lt;2500 g at birth (AOR 1.95, 95% CI 1.16 to 3.28) and babies born at 35–37 weeks gestation (AOR 1.72, 95% CI 1.15 to 2.57) were more likely to be readmitted. Breast fed babies were less likely to be readmitted (AOR 0.69, 95% CI 0.53 to 0.90). Infants initially discharged early were not more likely to be readmitted. Conclusions: Early discharge occurred variably in the Northern Region in 1998. It is not associated with readmission to hospital. Breast feeding is associated with lower rates of readmission to hospital.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health</pub><pmid>15665161</pmid><doi>10.1136/adc.2003.040766</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Babies
Biological and medical sciences
Births
Body Weight
Breast feeding
early discharge
England
Epidemiologic Methods
Health aspects
Hospitals
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Newborn, Diseases - therapy
Infants
jaundice
Maternal Age
Maternity stays
Medical sciences
Mental Disorders
Miscellaneous
neonatal
Original
Patient Discharge - statistics & numerical data
Patient Readmission - statistics & numerical data
Pediatrics
Perinatal Care - methods
postpartum
Pregnancy
Public health. Hygiene
Public health. Hygiene-occupational medicine
Ratios
readmission
Regression (Statistics)
Regression analysis
Time Factors
Vagina
Young Children
title Early discharge and readmission to hospital in the first month of life in the Northern Region of the UK during 1998: a case cohort study
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