Safety of early discharge for Medicaid newborns
Safety of early discharge for Medicaid newborns
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DOI：
10.1001/jama.282.12.1150
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发表时间：
1999-09-22
影响因子：
120.7
通讯作者：
Perlstein, PH
中科院分区：
文献类型：
--
作者：
Kotagal, UR;Atherton, HD;Perlstein, PH
背景新生儿出院更快，但与此相关的风险，特别是对低收入人群来说，尚不清楚.Objective To determine the impact of reducing postnatal length of stay on rehospitalization rates in the immediate postdischarge period for Medicaid newborns.Design and Setting回顾性，以人群为基础的队列研究，使用俄亥俄州Medicaid索赔数据链接到7月1日，1991年至1995年6月15日，共102678名足月新生儿的母亲接受医疗补助出生后至少30天。主要结果测量出院后7天和14天内的再住院率，出院后卫生保健的使用，结果新生儿短期住院后出院的比例（阴道分娩后1天内，剖宫产后2天内）增加185%，从21%增加到59.8%（P
Context Neonates are being discharged from the hospital more rapidly, but the risks associated with this practice, especially for low-income populations, are unclear.Objective To determine the impact of decreasing postnatal length of stay on rehospitalization rates in the immediate postdischarge period for Medicaid neonates.Design and Setting Retrospective, population-based cohort study using Ohio Medicaid claims data linked to vital statistics files from July 1, 1991, to June 15, 1995.Participants A total of 102 678 full-term neonates born to mothers receiving Medicaid for at least 30 days after birth.Main Outcome Measures Rehospitalization rates within 7 and 14 days of discharge, postdischarge health care use, and regional variations in length of stay and rehospitalization.Results The proportion of neonates who were discharged following a short stay (less than 1 day after vaginal delivery, less than 2 days after cesarean birth) increased 185%, from 21 % to 59.8% (P