Fragmentation of postpartum readmissions in the United States
American Journal of Obstetrics and Gynecology Jan 24, 2020
Wen T, Krenitsky NM, Clapp MA, et al. - Researchers aimed at characterizing risk for and outcomes linked with the fragmentation of postpartum readmissions wherein the readmitting hospital is different than the delivery hospital. For this retrospective cohort study, they identified 141,276 postpartum readmissions within 60-days of delivery hospitalization discharge for women aged 15-54 years using 2010 to 2014 Nationwide Readmissions Database. Of these, 15% of readmissions (n = 21,789) occurred at a hospital different from where the delivery occurred. Outcomes suggest a correlation of discontinuity of postpartum care with increased risk for severe morbidity, high costs, and long length of stay. This emphasizes reducing fragmentation as a relevant goal in overall attempts to improve postpartum care. Factors associated with fragmentation included public insurance compared with private insurance.
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