Bibliographic Details
| Title: |
Birth Hospital Length of Stay and Rehospitalization During COVID-19. |
| Authors: |
Handley, Sara C., Gallagher, Kieran, Breden, Amy, Lindgren, Eric, Lo, Justin Y., Son, Moeun, Murosko, Daria, Dysart, Kevin, MD, Lorch, Scott A., Greenspan, Jay, Culhane, Jennifer F., Burris, Heather H. |
| Source: |
Pediatrics. Jan2022, Vol. 149 Issue 1, p1-11. 11p. |
| Subjects: |
Length of stay in hospitals, Confidence intervals, Multivariate analysis, Patient readmissions, Retrospective studies, Health outcome assessment, Medical care costs, Mathematical variables, Vagina, Comparative studies, Descriptive statistics, Cesarean section, Delivery (Obstetrics), Infant health services, Data analysis software, Odds ratio, COVID-19 pandemic, Longitudinal method |
| Abstract: |
OBJECTIVES: To determine if birth hospitalization length of stay (LOS) and infant rehospitalization changed during the coronavirus disease 2019 (COVID-19) era among healthy, term infants. METHODS: Retrospective cohort study using Epic's Cosmos data from 35 health systems of term infants discharged #5 days of birth. Short birth hospitalization LOS (vaginal birth <2 midnights; cesarean birth <3 midnights) and, secondarily, infant rehospitalization #7 days after birth hospitalization discharge were compared between the COVID-19 (March 1 to August 31, 2020) and prepandemic eras (March 1 to August 31, 2017, 2018, 2019). Mixedeffects models were used to estimate adjusted odds ratios (aORs) comparing the eras. RESULTS: Among 202 385 infants (57 110 from the COVID-19 era), short birth hospitalization LOS increased from 28.5% to 43.0% for all births (vaginal: 25.6% to 39.3%, cesarean: 40.1% to 61.0%) during the pandemic and persisted after multivariable adjustment (all: aOR 2.30, 95% confidence interval [CI] 2.25--2.36; vaginal: aOR 2.12, 95% CI 2.06--2.18; cesarean: aOR 3.01, 95% CI 2.87--3.15). Despite shorter LOS, infant rehospitalizations decreased slightly during the pandemic (1.2% to 1.1%); results were similar in adjusted analysis (all: aOR 0.83, 95% CI 0.76--0.92; vaginal: aOR 0.82, 95% CI 0.74--0.91; cesarean: aOR 0.87, 95% CI 0.69--1.10). There was no change in the proportion of rehospitalization diagnoses between eras. CONCLUSIONS: Short infant LOS was 51% more common in the COVID-19 era, yet infant rehospitalization within a week did not increase. This natural experiment suggests shorter birth hospitalization LOS among family- and clinician-selected, healthy term infants may be safe with respect to infant rehospitalization, although examination of additional outcomes is needed. [ABSTRACT FROM AUTHOR] |
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| Database: |
Psychology and Behavioral Sciences Collection |
