Table 3 Characteristics of OEN readmissions within 30 days of initial discharge.
From: Shifting the care paradigm for opioid-exposed newborns in Southern Colorado
Patient (Pt) | Birth quarter | DOL DC #1 | Received pharm therapy | DOL readmit | Principal diagnosis on readmission | Comment |
|---|---|---|---|---|---|---|
UCHealth Memorial | ||||||
Before Implementing ESC Pathway | ||||||
Pt 1 | Oct–Dec 2017 | 23 | Y | 42 | Leg Impetigo, Non-accidental Trauma (NAT), Thrush | Concern for NAT, d/c to foster placement |
Pt 2 | Oct–Dec 2017 | 63 | Y | 65 | Failure to thrive, inadequate oral intake | Gastrostomy tube placement |
Pt 3 | Oct–Dec 2017 | 19 | Y | 27 | Emesis, poor feeding | IV Hydration, home in 24 h |
After Implementing ESC Pathway | ||||||
Pt4 | Jan–Mar 2019 | 5 | N | 6 | Hyperbilirubinemia | Phototherapy, 24 h stay |
Parkview Medical Center | ||||||
Before Implementing ESC Pathway | ||||||
Pt 1 | Jan–Mar 2018 | 3 | N | 9 | Failure to thrive, poor weight gain | Increased to 24 Cal/oz feeds |
Pt 2 | Jan–Mar 2018 | 18 | Y | 21 | Influenza | Home in 3 days |
After Implementing ESC Pathway | ||||||
Pt 3 | Jul–Sep 2018 | 6 | N | 16 | Brief Resolved Unexplained Event (BRUE), 30 min after feeding infant turned blue | 48 h observation, no events |
Pt 4 | Jul–Sep 2018 | 15 | Y | 22 | Possible seizure | Negative evaluation, home 24 h |
Pt 5 | Jan–Mar 2019 | 5 | N | 15 | BRUE, cyanosis and apnea at home | Transient O2 need, home 24 h |
Pt 6 | Jan–Mar 2019 | 4 | N | 11 | Poor weight gain | Gained weight in hospital, home in 48 h |
Pt 7 | Jul–Sep 2019 | 6 | N | 32 | BRUE (choking w/ feed) | 24 h observation, no concerns |
Pt 8 | Oct–Dec 2019 | 7 | Y | 27 | Omphalitis | Transported |