Comparison of Early Versus Very Early Postnatal Discharge on Hospital Readmissions in Newborns

N/ACompletedNCT04422041

Universidad Autonoma de Nuevo Leon354 enrolled

Overview

This study compared hospital readmission and complications between very early discharge and early discharge in healthy newborn patients.

Introduction. Very early postnatal discharge is defined as a hospital stay of the mother-child dyad of less than 24 hours. It is usually performed in public institutions of low-income countries due to high birth rates; it has not been associated to a higher proportion of neonatal admissions, however, very early discharge might increase this risk. The objective of this study was to compare the rate hospital readmission in patients with very early vs early postnatal discharge. Methods A prospective, randomized clinical study was performed with healthy term infants born in a hospital in Mexico from July 2016 to June 2018. Sample was randomized into two groups, a very early discharge group (\<24 hours) and an early discharge group (24-48 hours). Hospital readmission rate was analyzed in both groups.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

SINGLE

Enrollment

354

Conditions

Hospital Readmission Newborn Morbidity Newborn Complication Newborn

Interventions

Time to discharge less than 24 hoursOTHER

Allow the joint medical discharge of the newborn together with its mother in less than 24 hours after birth in a healthy patient, without obstetric complications and who does not present comorbidities and complications.

Discharge time between 24 and 48 hoursOTHER

Allow the joint medical discharge of the newborn together with its mother between 24-48 hours after birth in a healthy patient, without obstetric complications and who does not present comorbidities and complications.

Eligibility

Sex: ALLMin age: 1 MinuteMax age: 2 Days

Medical Language ↔ Plain English

Inclusion Criteria: * Healthy newborns that were born from vaginal delivery in primiparous or multiparous women where both the mother and the newborn were deemed as eligible for early discharge according to the American Association of Pediatrics criteria and by a clinical obstetric mother evaluation. Exclusion Criteria: * Placenta praevia, abnormal bleeding during vaginal delivery (considered as greater than 500mL), inhability to deambulate, medical complications from previous a previous pregnancy, 3rd or 4th degree perineal laceration as well as medical conditions that required any monitorization for more than 24 hours after delivery.

Outcomes

Primary Outcomes

Hospital readmission rate

Proportion of participant newborns who were readmitted into the hospital during follow up

Time frame: 28 days

Secondary Outcomes

Rate of attention in emergency services

Proportion of participant newborns who attended the emergency services during follow up

Time frame: 28 days

Readmission rate associated factors

Statistical associations between the primary outcome and other variables of interest

Time frame: 28 days

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.