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Objective <p>To evaluate the effectiveness of implementing American Academy of Pediatrics (AAP) discharge guidelines in reducing unplanned hospital readmissions within 30 days post-discharge among term ansd late preterm newborns.</p> Study design <p>Retrospective observational study analyzing unplanned readmissions at a single-center neonatal unit from January 1, 2021, to December 31, 2024. Data were compared before (January 1, 2021–June 30, 2022) and after (July 1, 2022–December 31, 2024) guideline implementation, with subgroup analysis for the period after addition of structured support (July 1, 2023–December 31, 2024).</p> Result <p>AAP guideline implementation was associated with a statistically significant reduction in unplanned readmission rates among term infants (0.66% vs. 0.33%; P = 0.008). No reduction was evident among late preterm infants. Subgroup analysis showed further reductions post-structured support addition, though confounding by provider changes limits attribution.</p> Conclusion <p>The adoption of the AAP discharge guidelines, along with a structured process of mother and infant readiness, significantly decreassed unplanned readmission rates among term newborns.</p>

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Implementation of the AAP discharge guidelines reduces unplanned readmissions of newborn infants: a single-center study

  • 期刊论文

  • 发表日期：

    2025年11月17日

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  • Jorge M. Lopez Da Re,
  • Julie Pepe,
  • William Oh

摘要

Objective

To evaluate the effectiveness of implementing American Academy of Pediatrics (AAP) discharge guidelines in reducing unplanned hospital readmissions within 30 days post-discharge among term ansd late preterm newborns.

Study design

Retrospective observational study analyzing unplanned readmissions at a single-center neonatal unit from January 1, 2021, to December 31, 2024. Data were compared before (January 1, 2021–June 30, 2022) and after (July 1, 2022–December 31, 2024) guideline implementation, with subgroup analysis for the period after addition of structured support (July 1, 2023–December 31, 2024).

Result

AAP guideline implementation was associated with a statistically significant reduction in unplanned readmission rates among term infants (0.66% vs. 0.33%; P = 0.008). No reduction was evident among late preterm infants. Subgroup analysis showed further reductions post-structured support addition, though confounding by provider changes limits attribution.

Conclusion

The adoption of the AAP discharge guidelines, along with a structured process of mother and infant readiness, significantly decreassed unplanned readmission rates among term newborns.