Ensuring safe and timely follow-up after well baby nursery (WBN) discharge is an ongoing challenge. This study demonstrates the efficacy of a novel model for follow-up, the Newborn Clinic (NBC), in reducing time to outpatient follow-up after WBN discharge. Our retrospective chart review of 17 952 newborns found that time to follow-up visit decreased significantly following NBC establishment. Emergency department visits, a marker of infant morbidity, were slightly increased in the post-establishment cohort. There was no difference, however, in hospital readmissions. Analysis within the post-establishment cohort showed that newborns with jaundice, a high-risk group, were much more likely to have early follow-up if their visit was scheduled with NBC. Our study demonstrates that NBC is an effective model for decreasing time from WBN discharge to follow-up visit. It should be considered as an initiative to run concurrently with expedited newborn discharge initiatives so that safe follow-up need not be sacrificed.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1177/0009922820944400 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Rehospitalization following Discharge from Newborn Nursery during Severe Acute Respiratory Syndrome Coronavirus 2 Pandemic.
Am J Perinatol
October 2024
Department of Pediatrics, Children's Hospital at Montefiore, Bronx, New York.
Objective: This study aimed to compare rehospitalization rates, diagnoses, and well-baby nursery (WBN) length of stay (LOS) among rehospitalized infants born during the COVID-19 pandemic to those born prior.
Study Design: A retrospective comparison of 215 infants rehospitalized from March 1, 2019, to March 1, 2021, was performed in an urban academic center. Rates of readmission were determined for all infants using an unadjusted odds ratio.
Short-term outcomes of infants born to mothers with SARS-CoV-2 infection.
J Matern Fetal Neonatal Med
December 2022
Department of Pediatrics, New York University Grossman School of Medicine, New York, NY, USA.
Objective: The rate of transmission of SARS-CoV-2 from mothers to infants in the peri- and post-natal period remains an area of ongoing investigation. This study aims to determine rates of development of clinically significant COVID-19 disease within 1 month among infants born to symptomatic and asymptomatic SARS-CoV-2 positive mothers.
Materials And Methods: This was a single-center, retrospective cohort study of all infants born to SARS-CoV-2 positive mothers who were admitted to the Well Baby Nursery (WBN) at New York University Langone Hospital-Brooklyn from 23 March-23 September 2020.
Implementing a Hospital-Based Safe Sleep Program for Newborns and Infants.
Adv Neonatal Care
June 2021
Westchester Institute for Human Development, Valhalla, New York (Drs Patrick and Canter); School of Health Sciences and Practices, New York Medical College, Valhalla (Drs Patrick and Brumberg); Department of Pediatrics, New York Medical College, Valhalla (Drs Patrick, Canter, Brumberg, LaGamma, and Altman); and Maria Fareri Children's Hospital at Westchester Medical Center, Valhalla, New York (Drs Canter, Brumberg, Sandhu, Trinidad, LaGamma, and Altman, Mss Dozor and Smith, and Mr Aboudi).
Background: An unsafe sleep environment remains the leading contributor to unexpected infant death.
Purpose: To determine the effectiveness of a quality improvement initiative developed to create a hospital-based safe sleep environment for all newborns and infants.
Methods: A multidisciplinary team from the well-baby nursery (WBN) and neonatal intensive care unit (NICU) of a 149-bed academic, quaternary care, regional referral center developed and implemented safe sleep environments within the hospital for all prior to discharge.
Newborn Clinic: A Novel Model to Provide Timely, Comprehensive Care to Newborns Following Nursery Discharge.
Clin Pediatr (Phila)
December 2020
Department of Pediatrics, Columbia University, New York, NY, USA.
Ensuring safe and timely follow-up after well baby nursery (WBN) discharge is an ongoing challenge. This study demonstrates the efficacy of a novel model for follow-up, the Newborn Clinic (NBC), in reducing time to outpatient follow-up after WBN discharge. Our retrospective chart review of 17 952 newborns found that time to follow-up visit decreased significantly following NBC establishment.
View Article and Find Full Text PDFPresence of neonatal intensive care services at birth hospital and early intervention enrollment in infants ≤1500 g.
J Perinat Med
April 2020
Maria Fareri Children's Hospital at Westchester Medical Center, Division of Newborn Medicine, Department of Pediatrics, Valhalla, NY, USA.
Objectives To determine whether the receipt of therapeutic services of very-low-birth-weight (VLBW; ≤1500 g) neonates inadvertently delivered at community Level 2 and 3 neonatal intensive care units (NICUs) compared with those born at a well-baby nursery (WBN; Level 1) differed. Methods This is a retrospective study of neonates who were born at Level 1 (WBN), 2, 3, and 4 NICUs and discharged from a Level 4 hospital (n = 529). All infants were evaluated at the Regional Neonatal Follow-up Program at 12 ± 1 months corrected gestational age (CA) and assessed for use of therapeutic services including: early intervention (EI), occupational therapy (OT), physical therapy (PT), speech therapy (ST), and special education (SE).
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!