Discontinuation of Car Seat Tolerance Screening and Postdischarge Adverse Outcomes in Infants Born Preterm
Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved..
OBJECTIVE: To study the association between discontinuing predischarge car seat tolerance screening (CSTS) with 30-day postdischarge adverse outcomes in infants born preterm.
STUDY DESIGN: Retrospective cohort study involving all infants born preterm from 2010 through 2021 who survived to discharge to home in a 14-hospital integrated health care system. The exposure was discontinuation of CSTS. The primary outcome was a composite rate of death, 911 call-triggered transports, or readmissions associated with diagnostic codes of respiratory disorders, apnea, apparent life-threatening event, or brief resolved unexplained events within 30 days of discharge. Outcomes of infants born in the periods of CSTS and after discontinuation were compared.
RESULTS: Twelve of 14 hospitals initially utilized CSTS and contributed patients to the CSTS period; 71.4% of neonatal intensive care unit (NICU) patients and 26.9% of non-NICU infants were screened. All hospitals participated in the discontinuation period; 0.1% was screened. Rates of the unadjusted primary outcome were 1.02% in infants in the CSTS period (n = 21 122) and 1.06% after discontinuation (n = 20 142) (P = .76). The aOR (95% CI) was 0.95 (0.75, 1.19). Statistically insignificant differences between periods were observed in components of the primary outcome, gestational age strata, NICU admission status groups, and other secondary analyses.
CONCLUSIONS: Discontinuation of CSTS in a large integrated health care network was not associated with a change in 30-day postdischarge adverse outcomes. CSTS's value as a standard predischarge assessment deserves further evaluation.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:261 |
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| Enthalten in: |
The Journal of pediatrics - 261(2023) vom: 01. Okt., Seite 113577 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Braun, David [VerfasserIn] |
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| Links: |
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| Themen: |
Car seat test |
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| Anmerkungen: |
Date Completed 25.09.2023 Date Revised 27.09.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.jpeds.2023.113577 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM358545161 |
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| 100 | 1 | |a Braun, David |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Discontinuation of Car Seat Tolerance Screening and Postdischarge Adverse Outcomes in Infants Born Preterm |
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| 500 | |a Date Completed 25.09.2023 | ||
| 500 | |a Date Revised 27.09.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2023 The Author(s). Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a OBJECTIVE: To study the association between discontinuing predischarge car seat tolerance screening (CSTS) with 30-day postdischarge adverse outcomes in infants born preterm | ||
| 520 | |a STUDY DESIGN: Retrospective cohort study involving all infants born preterm from 2010 through 2021 who survived to discharge to home in a 14-hospital integrated health care system. The exposure was discontinuation of CSTS. The primary outcome was a composite rate of death, 911 call-triggered transports, or readmissions associated with diagnostic codes of respiratory disorders, apnea, apparent life-threatening event, or brief resolved unexplained events within 30 days of discharge. Outcomes of infants born in the periods of CSTS and after discontinuation were compared | ||
| 520 | |a RESULTS: Twelve of 14 hospitals initially utilized CSTS and contributed patients to the CSTS period; 71.4% of neonatal intensive care unit (NICU) patients and 26.9% of non-NICU infants were screened. All hospitals participated in the discontinuation period; 0.1% was screened. Rates of the unadjusted primary outcome were 1.02% in infants in the CSTS period (n = 21 122) and 1.06% after discontinuation (n = 20 142) (P = .76). The aOR (95% CI) was 0.95 (0.75, 1.19). Statistically insignificant differences between periods were observed in components of the primary outcome, gestational age strata, NICU admission status groups, and other secondary analyses | ||
| 520 | |a CONCLUSIONS: Discontinuation of CSTS in a large integrated health care network was not associated with a change in 30-day postdischarge adverse outcomes. CSTS's value as a standard predischarge assessment deserves further evaluation | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Research Support, Non-U.S. Gov't | |
| 650 | 4 | |a car seat test | |
| 650 | 4 | |a car seat tolerance screen | |
| 650 | 4 | |a discharge readiness | |
| 650 | 4 | |a infants born preterm | |
| 700 | 1 | |a Kaempf, Joseph W |e verfasserin |4 aut | |
| 700 | 1 | |a Ho, Ngoc J |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Marielle H |e verfasserin |4 aut | |
| 700 | 1 | |a Passi, Rohit |e verfasserin |4 aut | |
| 700 | 1 | |a Burgos, Anthony E |e verfasserin |4 aut | |
| 700 | 1 | |a Volodarskiy, Marianna |e verfasserin |4 aut | |
| 700 | 1 | |a Villosis, Maria Fe B |e verfasserin |4 aut | |
| 700 | 1 | |a Gupta, Mandhir |e verfasserin |4 aut | |
| 700 | 1 | |a Habeshian, Talar S |e verfasserin |4 aut | |
| 700 | 1 | |a Tam, Henry K |e verfasserin |4 aut | |
| 700 | 1 | |a Litam, Kevin B |e verfasserin |4 aut | |
| 700 | 1 | |a Hong, Quinn L |e verfasserin |4 aut | |
| 700 | 1 | |a Dong, Calvin C |e verfasserin |4 aut | |
| 700 | 1 | |a Getahun, Darios |e verfasserin |4 aut | |
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