Readmission for neonatal jaundice in California, 1991-2000: trends and implications [corrected] [published erratum appears in PEDIATRICS 2008 Sep;122(3):690].
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| Title: | Readmission for neonatal jaundice in California, 1991-2000: trends and implications [corrected] [published erratum appears in PEDIATRICS 2008 Sep;122(3):690]. |
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| Authors: | Burgos AE (AUTHOR), Schmitt SK (AUTHOR), Stevenson DK (AUTHOR), Phibbs CS (AUTHOR) |
| Source: | Pediatrics. Apr2008, Vol. 121 Issue 4, pe864-9. 1p. |
| Abstract: | OBJECTIVE: We sought to describe population-based trends, potential risk factors, and hospital costs of readmission for jaundice for term and late preterm infants. METHODS: Birth-cohort data were obtained from the California Office of Statewide Health Planning and Development and contained infant vital statistics data linked to infant and maternal hospital discharge summaries. The study population was limited to healthy, routinely discharged infants through the use of multiple exclusion criteria. All linked readmissions occurred within 14 days of birth. International Classification of Diseases, Ninth Revision, codes were used to further limit the sample to readmission for jaundice. Hospital discharge records were the source of diagnoses, hospital charges, and length-of-stay information. Hospital costs were estimated using hospital-specific ratios of costs to charges and adjusted to 1991. RESULTS: Readmission rates for jaundice generally rose after 1994 and peaked in 1998 at 11.34 per 1000. The readmission rate for late preterm infants (as a share of all infants) over the study period remained at <2 per 1000. Factors associated with increased likelihood of hospital readmission for jaundice included gestational age 34 to 39 weeks, birth weight of <2500 g, male gender, Medicaid or private insurance, and Asian race. Factors associated with a decreased likelihood of readmission for jaundice were cesarean section delivery and black race. The mean cost of readmission for all infants was $2764, with a median cost of $1594. CONCLUSIONS: Risk-adjusted readmission rates for jaundice rose following the 1994 hyperbilirubinemia guidelines and declined after postpartum length-of-stay legislation in 1998. In 2000, the readmission rate remained 6% higher than in 1991. These findings highlight the complex relationship among newborn physiology, socioeconomics, race or ethnicity, public policy, clinical guidelines, and physician practice. These trend data provide the necessary baseline to study whether revised guidelines will change practice patterns or improve outcomes. Cost data also provide a break-even point for prevention strategies. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 105912382 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Readmission for neonatal jaundice in California, 1991-2000: trends and implications [corrected] [published erratum appears in PEDIATRICS 2008 Sep;122(3):690]. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Burgos+AE%22">Burgos AE</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Schmitt+SK%22">Schmitt SK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Stevenson+DK%22">Stevenson DK</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Phibbs+CS%22">Phibbs CS</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Pediatrics%22">Pediatrics</searchLink>. Apr2008, Vol. 121 Issue 4, pe864-9. 1p. – Name: Abstract Label: Abstract Group: Ab Data: OBJECTIVE: We sought to describe population-based trends, potential risk factors, and hospital costs of readmission for jaundice for term and late preterm infants. METHODS: Birth-cohort data were obtained from the California Office of Statewide Health Planning and Development and contained infant vital statistics data linked to infant and maternal hospital discharge summaries. The study population was limited to healthy, routinely discharged infants through the use of multiple exclusion criteria. All linked readmissions occurred within 14 days of birth. International Classification of Diseases, Ninth Revision, codes were used to further limit the sample to readmission for jaundice. Hospital discharge records were the source of diagnoses, hospital charges, and length-of-stay information. Hospital costs were estimated using hospital-specific ratios of costs to charges and adjusted to 1991. RESULTS: Readmission rates for jaundice generally rose after 1994 and peaked in 1998 at 11.34 per 1000. The readmission rate for late preterm infants (as a share of all infants) over the study period remained at <2 per 1000. Factors associated with increased likelihood of hospital readmission for jaundice included gestational age 34 to 39 weeks, birth weight of <2500 g, male gender, Medicaid or private insurance, and Asian race. Factors associated with a decreased likelihood of readmission for jaundice were cesarean section delivery and black race. The mean cost of readmission for all infants was $2764, with a median cost of $1594. CONCLUSIONS: Risk-adjusted readmission rates for jaundice rose following the 1994 hyperbilirubinemia guidelines and declined after postpartum length-of-stay legislation in 1998. In 2000, the readmission rate remained 6% higher than in 1991. These findings highlight the complex relationship among newborn physiology, socioeconomics, race or ethnicity, public policy, clinical guidelines, and physician practice. These trend data provide the necessary baseline to study whether revised guidelines will change practice patterns or improve outcomes. Cost data also provide a break-even point for prevention strategies. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1542/peds.2007-1214 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 1 StartPage: e864 Titles: – TitleFull: Readmission for neonatal jaundice in California, 1991-2000: trends and implications [corrected] [published erratum appears in PEDIATRICS 2008 Sep;122(3):690]. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Burgos AE – PersonEntity: Name: NameFull: Schmitt SK – PersonEntity: Name: NameFull: Stevenson DK – PersonEntity: Name: NameFull: Phibbs CS IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 04 Text: Apr2008 Type: published Y: 2008 Identifiers: – Type: issn-print Value: 00314005 Numbering: – Type: volume Value: 121 – Type: issue Value: 4 Titles: – TitleFull: Pediatrics Type: main |
| ResultId | 1 |
