Comparison of Early Versus Very Early Postnatal Discharge on Hospital Readmissions in Newborns: A Prospective Study

Universidad Autonoma de Nuevo Leon0 sites354 target enrollmentJuly 1, 2016

ConditionsHospital Readmission Newborn Morbidity Newborn Complication Newborn

Overview

Phase: Not Applicable
Intervention: Not specified
Conditions: Hospital Readmission
Sponsor: Universidad Autonoma de Nuevo Leon
Enrollment: 354
Primary Endpoint: Hospital readmission rate
Status: Completed
Last Updated: 5 years ago

Overview Investigators Eligibility Criteria Outcomes Similar Trials

Overview

Brief Summary

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

Detailed Description

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.

Registry

clinicaltrials.gov

Start Date

July 1, 2016

End Date

July 29, 2018

Last Updated

5 years ago

Study Type

Interventional

Study Design

Parallel

Sex

All

Investigators

Sponsor

Universidad Autonoma de Nuevo Leon

Responsible Party

Principal Investigator

Erika Ochoa-Correa

Professor

Universidad Autonoma de Nuevo Leon

Eligibility Criteria

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.