Impact of postpartum hospital-stay legislation on newborn length of stay, readmission, and mortality in California.

Abstract:

OBJECTIVES:The objectives of this study were to examine the impact of postpartum hospital-stay legislation on newborns' length of stay, neonatal readmissions, and 1-year mortality in California, and whether this legislation had differential impacts by demographics and complications during delivery or pregnancy. METHODOLOGY:This study used linked birth certificates, death certificates and hospital discharge records for all full-term, normal birth weight, and singleton-birth newborns during 1991-2000 in California (n = 662,753). Interrupted time-series analyses were used to examine changes in newborns' length of stay and outcomes after 1 year, 2 years, and 3 years since the passage of postpartum laws. Multivariate linear and logistic regressions were estimated separately by maternal characteristics (race, education, age, and partity), delivery type, and complications during pregnancy or delivery. RESULTS:Length of stay increased by 9.5, 12, and 14 hours in years 1, 2, and 3, respectively, after the passage of the law. Increases were larger for newborns of white mothers, more educated mothers, mothers >35 years of age, primaparous mothers, cesarean deliveries, and Medicaid recipients, but there were no differences by pregnancy or delivery complications. The odds of neonatal readmission declined by 9.3%, 11.8%, and 19.7% in years 1, 2 and 3 after the law, respectively. The odds of infection-related readmissions declined by 21.5% and 30.3% in years 2 and 3, respectively. The odds of jaundice-related readmissions increased by 7% in year 1. There was no significant change in either the odds of readmission due to respiratory problems or the odds of 1-year mortality in the postlaw years. Demographic differences in the impact of the law on readmissions and mortality could not be detected because of lack of statistical power. CONCLUSIONS:Postpartum length of stay legislation was associated with increased length of stay among all births in California, with significant variation in the law's impact across demographic groups. After the law's passage, there was a significant decline in neonatal readmissions but not in 1-year mortality.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Datar A,Sood N

doi

10.1542/peds.2005-3044

subject

Has Abstract

pub_date

2006-07-01 00:00:00

pages

63-72

issue

1

eissn

0031-4005

issn

1098-4275

pii

118/1/63

journal_volume

118

pub_type

杂志文章
  • The use of a crystalline amino acid mixture for parenteral nutrition in low-birth-weight infants.

    abstract::Thirty-six preterm, sick, low-birth-weight neonates were given either total or partial parenteral nutrition. The patients were divided into three groups according to their birth weights: group A -less than 1,000 gm, 12 patients: group B--between 1,000 and 1,500 gm, 15 patients: group C--more than 1,500 gm, 9 patients....

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Meng HC,Stahlman MT,Otten A,Dolanski EA,Caldwell MD,O'Neill JA

    更新日期:1977-05-01 00:00:00

  • Motivational interviewing with parents for obesity: an RCT.

    abstract:BACKGROUND AND OBJECTIVE:Motivational interviewing (MI) has been shown to be an effective strategy for targeting obesity in adolescents, and parental involvement is associated with increased effectiveness. The aim of this study was to evaluate and compare the role of parental involvement in MI interventions for obese a...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2014-1987

    authors: Pakpour AH,Gellert P,Dombrowski SU,Fridlund B

    更新日期:2015-03-01 00:00:00

  • Acute profound dystonia in infants with glutaric acidemia.

    abstract::Acute profound dystonia developed in three previously well infants who were found to have glutaryl-CoA dehydrogenase deficiency in cultured skin fibroblasts. Two patients had excessive urinary excretion of glutaric acid, but one did not. Neuroradiologic studies performed in all three patients at the onset of their ill...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:

    authors: Bergman I,Finegold D,Gartner JC Jr,Zitelli BJ,Claassen D,Scarano J,Roe CR,Stanley C,Goodman SI

    更新日期:1989-02-01 00:00:00

  • Prescribing practices and knowledge of tricyclic antidepressants among physicians caring for children.

    abstract::We did not find any significant difference between pediatricians and family practitioners with regard to their knowledge of the potentially serious toxicities of the tricyclic antidepressants. One of this group, imipramine, is in widespread use for the treatment of enuresis. A large proportion of the pediatricians (40...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Rauber A,Maroncelli R

    更新日期:1984-01-01 00:00:00

  • Iron refractory iron deficiency anemia: presentation with hyperferritinemia and response to oral iron therapy.

    abstract::Iron-refractory iron-deficiency anemia (IRIDA) is an autosomal recessive disorder caused by mutations in TMPRSS6. Patients have hypochromic microcytic anemia refractory to oral iron and are only partially responsive to parenteral iron administration. We report a French-Canadian kindred in which 2 siblings presented in...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2012-1303

    authors: Khuong-Quang DA,Schwartzentruber J,Westerman M,Lepage P,Finberg KE,Majewski J,Jabado N

    更新日期:2013-02-01 00:00:00

  • Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

    abstract:OBJECTIVE:Medication errors are common among pediatric patients and in emergency departments (EDs). Such errors may lead to prolonged hospitalization, unnecessary diagnostic tests and treatments, and death. The objective of this study was to determine whether the use of a structured order sheet reduces the incidence of...

    journal_title:Pediatrics

    pub_type: 杂志文章,随机对照试验

    doi:10.1542/peds.2004-2016

    authors: Kozer E,Scolnik D,MacPherson A,Rauchwerger D,Koren G

    更新日期:2005-12-01 00:00:00

  • Home visitors and child health: analysis of selected programs.

    abstract::The relationships between selected child health outcomes and programmatic interventions using home visitors are analyzed. The following features of seven programs are systematically reported: program characteristics; description of the home visitors; program objectives, sample size, and research design; outcome measur...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Chapman J,Siegel E,Cross A

    更新日期:1990-06-01 00:00:00

  • Impact of maternal diabetes mellitus on mortality and morbidity of preterm infants (24-33 weeks' gestation).

    abstract:OBJECTIVE:We hypothesized that maternal diabetes mellitus (DM) increases the risk for mortality, respiratory distress syndrome (RDS), and major complications of prematurity. METHODS:Analysis of prospectively collected (1995-2007) Israel National Very Low Birth Weight Infant Database. Maternal DM was recorded as preges...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-3443

    authors: Bental Y,Reichman B,Shiff Y,Weisbrod M,Boyko V,Lerner-Geva L,Mimouni FB,Collaboration With the Israel Neonatal Network.

    更新日期:2011-10-01 00:00:00

  • Imbalance between production and conjugation of bilirubin: a fundamental concept in the mechanism of neonatal jaundice.

    abstract:OBJECTIVE:The objective of this study was to evaluate the roles of production and conjugation of bilirubin, individually and in combination, in the mechanism of neonatal jaundice. METHODS:A cohort of healthy, term male newborns was sampled on the third day of life, coincident with routine metabolic screening, for bloo...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.110.4.e47

    authors: Kaplan M,Muraca M,Hammerman C,Rubaltelli FF,Vilei MT,Vreman HJ,Stevenson DK

    更新日期:2002-10-01 00:00:00

  • No evidence of persisting measles virus in peripheral blood mononuclear cells from children with autism spectrum disorder.

    abstract:OBJECTIVES:Despite epidemiologic evidence to the contrary, claims of an association between measles-mumps-rubella vaccination and the development of autism have persisted. Such claims are based primarily on the identification of measles virus nucleic acids in tissues and body fluids by polymerase chain reaction. We sou...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-1262

    authors: D'Souza Y,Fombonne E,Ward BJ

    更新日期:2006-10-01 00:00:00

  • Surfactant replacement therapy for severe neonatal respiratory distress syndrome: an international randomized clinical trial. Collaborative European Multicenter Study Group.

    abstract::In a randomized multicenter trial, involving the collaboration of eight European neonatal intensive care units, the efficacy of replacement therapy with a new surfactant preparation (Curosurf) was tested in 146 patients with severe neonatal respiratory distress syndrome. Criteria for entry included birth weight 700 to...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors:

    更新日期:1988-11-01 00:00:00

  • Parent health and functioning 13 months after infant or child NICU/PICU death.

    abstract:BACKGROUND:After a child's death, parents may experience depression, posttraumatic stress disorder (PTSD), and increased risk for cancers, diabetes, psychiatric hospitalization, and suicide. Racial/ethnic differences are unknown. This longitudinal study investigated health and functioning of Hispanic, black, and white ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2013-1194

    authors: Youngblut JM,Brooten D,Cantwell GP,del Moral T,Totapally B

    更新日期:2013-11-01 00:00:00

  • Septic dermatitis of the neonatal scalp and maternal endomyometritis with intrapartum internal fetal monitoring.

    abstract::During a 3-month period, 1,062 mother-infant pairs were studied for infections following internal fetal monitoring during labor. Six infants (0.56%) developed septic scalp dermatitis at the site of the spiral electrode application. Factors associated with septic scalp dermatitis included the number of vaginal examinat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Wagener MM,Rycheck RR,Yee RB,McVay JF,Buffenmyer CL,Harger JH

    更新日期:1984-07-01 00:00:00

  • Early developmental outcomes of children with congenital HHV-6 infection.

    abstract:OBJECTIVE:The goal of this study was to determine if congenital human herpesvirus-6 (HHV-6) infection influences early neurodevelopment. METHODS:We enrolled 57 newborns with HHV-6 congenital infection and 242 control newborns without congenital infection into a prospective, double-blind study with 4 visits between 4 a...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2014-0886

    authors: Caserta MT,Hall CB,Canfield RL,Davidson P,Lofthus G,Schnabel K,Carnahan J,Shelley L,Wang H

    更新日期:2014-12-01 00:00:00

  • Sexuality, contraception, and the media. Committee on Public Education.

    abstract::Early sexual intercourse among American adolescents represents a major public health problem. Although early sexual activity may be caused by a variety of factors, the media are believed to play a significant role. In film, television, and music, sexual messages are becoming more explicit in dialogue, lyrics, and beha...

    journal_title:Pediatrics

    pub_type: 指南,杂志文章

    doi:10.1542/peds.107.1.191

    authors: American Academy of Pediatrics. Committee on Public Education, American Academy of Child and Adolescent psychiatry, American Psychological Association.

    更新日期:2001-01-01 00:00:00

  • Health of children born as a result of in vitro fertilization.

    abstract:OBJECTIVE:The purpose of this study was to use nationwide registries to examine the health of children up to 4 years of age who were born as a result of in vitro fertilization. METHODS:Children born after in vitro fertilization (N = 4559) from 1996 to 1999 were monitored until 2003. Two control groups were selected fr...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2006-0735

    authors: Klemetti R,Sevón T,Gissler M,Hemminki E

    更新日期:2006-11-01 00:00:00

  • Legal, ethical, and financial dilemmas in electronic health record adoption and use.

    abstract::Electronic health records (EHRs) facilitate several innovations capable of reforming health care. Despite their promise, many currently unanswered legal, ethical, and financial questions threaten the widespread adoption and use of EHRs. Key legal dilemmas that must be addressed in the near-term pertain to the extent o...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2010-2184

    authors: Sittig DF,Singh H

    更新日期:2011-04-01 00:00:00

  • Oxygen Saturation Targets in Preterm Infants and Outcomes at 18-24 Months: A Systematic Review.

    abstract:CONTEXT:The optimal oxygen saturation target for extremely preterm infants remains unclear. OBJECTIVE:To systematically review evidence evaluating the effect of lower (85%-89%) versus higher (91%-95%) pulse oxygen saturation (Spo2) target on mortality and neurodevelopmental impairment (NDI) at 18 to 24 months. DATA S...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2016-1609

    authors: Manja V,Saugstad OD,Lakshminrusimha S

    更新日期:2017-01-01 00:00:00

  • Summary proceedings from the cardiology group on cardiovascular instability in preterm infants.

    abstract::The appropriate determination of adequate tissue perfusion and the best approach to treatment of perceived abnormalities in blood pressure in the neonate remain controversial. There is no consensus regarding the actual definition of hypotension in the neonate or how best to raise perceived low blood pressure. In addit...

    journal_title:Pediatrics

    pub_type:

    doi:10.1542/peds.2005-0620F

    authors: Short BL,Van Meurs K,Evans JR,Cardiology Group.

    更新日期:2006-03-01 00:00:00

  • Using BMI to determine cardiovascular risk in childhood: how do the BMI cutoffs fare?

    abstract:OBJECTIVE:Although adverse health outcomes are increased among children with BMI above the 85th (overweight) and 95th (obese) percentiles, previous studies have not clearly defined the BMI percentile at which adverse health outcomes begin to increase. We examined whether the existing BMI percentile cutoffs are optimal ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2009-0179

    authors: Skinner AC,Mayer ML,Flower K,Perrin EM,Weinberger M

    更新日期:2009-11-01 00:00:00

  • Clinical features and epidemiology of invasive Kingella kingae infections in southern Israel.

    abstract:OBJECTIVE:To characterize the clinical spectrum and epidemiology of invasive Kingella kingae infections in children living in southern Israel. DESIGN:Five-year observational, descriptive study. POPULATION:Children in whom K. kingae was isolated from blood or other normally sterile body fluid. RESULTS:Twenty-five pat...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Yagupsky P,Dagan R,Howard CB,Einhorn M,Kassis I,Simu A

    更新日期:1993-12-01 00:00:00

  • High-flow nasal cannulae in the management of apnea of prematurity: a comparison with conventional nasal continuous positive airway pressure.

    abstract::Apnea of prematurity (AOP) is frequently managed with nasal continuous positive airway pressure (NCPAP). Nasal cannula (NC) are used at low flows (<0.5 L/min) to deliver supplemental oxygen to neonates. A number of centers use high-flow nasal cannula (HFNC) in the management of AOP without measuring the positive diste...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章

    doi:10.1542/peds.107.5.1081

    authors: Sreenan C,Lemke RP,Hudson-Mason A,Osiovich H

    更新日期:2001-05-01 00:00:00

  • Prevention of influenza: recommendations for influenza immunization of children, 2007-2008.

    abstract::The American Academy of Pediatrics recommends annual influenza immunization for all children with high-risk conditions who are 6 months of age and older, for all healthy children ages 6 through 59 months, for all household contacts and out-of-home caregivers of children with high-risk conditions and of healthy childre...

    journal_title:Pediatrics

    pub_type: 杂志文章,评审

    doi:10.1542/peds.2008-0160

    authors: American Academy of Pediatrics Committee on Infectious Diseases.

    更新日期:2008-04-01 00:00:00

  • Eosinophilic Pneumonia and Lymphadenopathy Associated With Vaping and Tetrahydrocannabinol Use.

    abstract::Idiopathic acute eosinophilic pneumonia is a rare and potentially life-threatening condition that is defined by bilateral pulmonary infiltrates and fever in the presence of pulmonary eosinophilia. It often presents acutely in previously healthy individuals and can be difficult to distinguish from infectious pneumonia....

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2019-3007

    authors: Mull ES,Erdem G,Nicol K,Adler B,Shell R

    更新日期:2020-04-01 00:00:00

  • A novel mutation in the anion exchanger 1 gene is associated with familial distal renal tubular acidosis and nephrocalcinosis.

    abstract:OBJECTIVE:The anion exchanger gene (AE1) or band 3 encodes a chloride-bicarbonate (Cl(-)/HCO(3)(-)) exchanger expressed in the erythrocyte and in the renal alpha-intercalated cells involved in urine acidification. The purpose of the present study was to screen for mutations in the AE1 gene in 2 brothers (10 and 15 year...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.112.6.1361

    authors: Cheidde L,Vieira TC,Lima PR,Saad ST,Heilberg IP

    更新日期:2003-12-01 00:00:00

  • Teaching clinical decision-making to pediatric residents in an era of managed care.

    abstract::The growth of managed care has brought a new focus on physician competency in the appropriate use of resources to help patients. The community of pediatric educators must improve residency curricula and teaching methodologies to ensure that graduates of their programs can effectively and efficiently meet the needs of ...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:

    authors: Chessare JB

    更新日期:1998-04-01 00:00:00

  • Early Experience of COVID-19 in a US Children's Hospital.

    abstract:OBJECTIVES:We aim to describe the demographics, clinical presentation, hospital course, and severity of pediatric inpatients with coronavirus disease 2019 (COVID-19), with an emphasis on healthy, immunocompromised, and chronically ill children. METHODS:We conducted a single-center retrospective cohort study of hospita...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2020-003186

    authors: Kainth MK,Goenka PK,Williamson KA,Fishbein JS,Subramony A,Barone S,Belfer JA,Feld LM,Krief WI,Palumbo N,Rajan S,Rocker J,Scotto T,Sharma S,Sokoloff WC,Schleien C,Rubin LG,NORTHWELL HEALTH COVID-19 RESEARCH CONSORTIUM.

    更新日期:2020-10-01 00:00:00

  • Free Tax Services in Pediatric Clinics.

    abstract:OBJECTIVES:The earned income tax credit (EITC), refundable monies for America's working poor, is associated with improved child health. Yet, 20% of eligible families do not receive it. We provided free tax preparation services in clinics serving low-income families and assessed use, financial impact, and accuracy. MET...

    journal_title:Pediatrics

    pub_type: 杂志文章

    doi:10.1542/peds.2017-3608

    authors: Marcil LE,Hole MK,Wenren LM,Schuler MS,Zuckerman BS,Vinci RJ

    更新日期:2018-06-01 00:00:00

  • Efficacy of intranasal midazolam in facilitating suturing of lacerations in preschool children in the emergency department.

    abstract::Sedating children safely and effectively for minor laceration repair is a well-recognized clinical problem. A randomized, double-blind, and controlled study was conducted to evaluate the efficacy of intranasal midazolam for reducing stress during the suturing of lacerations in preschool children. Fifty-nine children w...

    journal_title:Pediatrics

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Theroux MC,West DW,Corddry DH,Hyde PM,Bachrach SJ,Cronan KM,Kettrick RG

    更新日期:1993-03-01 00:00:00

  • Pharyngitis in low-resources settings: a pragmatic clinical approach to reduce unnecessary antibiotic use.

    abstract:OBJECTIVE:Existing scoring systems for the diagnosis of group A streptococcus pharyngitis are insensitive or inapplicable in low-resources settings. Bacterial cultures and rapid tests can allow for antibiotic prescription abstention in high-income regions. These techniques are not feasible in many low-resources setting...

    journal_title:Pediatrics

    pub_type: 杂志文章,多中心研究

    doi:10.1542/peds.2006-1025

    authors: Smeesters PR,Campos D Jr,Van Melderen L,de Aguiar E,Vanderpas J,Vergison A

    更新日期:2006-12-01 00:00:00