Predictors of Mother and Infant Emergency Department Attendance and Admission: A Prospective Observational Study.
Emergency
Ethnicity
Health care utilisation
Inequity
Reproductive health
Respiratory disease
Journal
Maternal and child health journal
ISSN: 1573-6628
Titre abrégé: Matern Child Health J
Pays: United States
ID NLM: 9715672
Informations de publication
Date de publication:
Mar 2023
Mar 2023
Historique:
accepted:
20
12
2022
pubmed:
27
1
2023
medline:
10
3
2023
entrez:
26
1
2023
Statut:
ppublish
Résumé
To explore the predictors of emergency department attendance and admission for mothers and their infants. Self-reported emergency department (ED) attendance and admission, sociodemographic, mental health, and other measures were recorded at baseline and at 12 months at 4 sites in England between May 2017 and March 2020. Infants' gestational age (OR 0.73, 95% CI 0.61 to 0.88, p = 0.001), mothers' mental health (OR 2.40, 95% CI 1.30 to 4.41, p = 0.005) and mothers' attendance at ED (OR 2.34, 95% CI 1.13 to 4.84, p = 0.022) predicted infant ED attendance. Frequency of attendance was predicted by ED site (IRR 0.46, 95% CI 0.29 to 0.73, p = 0.001) and mothers' age (IRR 0.96, 95% CI 0.92 to 1.00, p = 0.028). Infant hospital admissions were predominantly for respiratory (40%) and other infectious diseases (21%) and were predicted by previous health problems (OR 3.25, 95% CI 1.76 to 6.01, p < 0.001). Mothers' ED attendance was predicted by mixed or multiple ethnic origin (OR 9.62, 95% CI 2.19 to 42.27, p = 0.003), having a male infant (OR 2.08, 95% CI 1.03 to 4.20, p = 0.042), and previous hospitalisation (OR 4.15, 95% CI 1.81 to 9.56, p = 0.001). Hospital admission was largely for reproductive health issues (61%) with frequency predicted by having attended the ED at least once (IRR 3.39, 95% CI 1.66 to 6.93, p = 0.001), and being anxious or depressed (IRR 3.10, 95% CI 1.14 to 8.45, p = 0.027). Improving the reproductive and mental health of mothers may help to avoid poor maternal and infant health outcomes and reduce emergency service utilisation and hospitalisation.
Identifiants
pubmed: 36701099
doi: 10.1007/s10995-022-03581-5
pii: 10.1007/s10995-022-03581-5
pmc: PMC9879240
doi:
Types de publication
Observational Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
527-537Subventions
Organisme : Public Health Research Programme
ID : NIHR PHR 13/93/10
Informations de copyright
© 2023. The Author(s).
Références
Eur J Public Health. 2013 Jun;23(3):485-91
pubmed: 22850187
BMJ Paediatr Open. 2018 Jul 30;2(1):e000266
pubmed: 30094348
PLoS One. 2022 Jun 13;17(6):e0265946
pubmed: 35696375
Arch Dis Child Fetal Neonatal Ed. 2011 Mar;96(2):F114-20
pubmed: 20688867
Clin Perinatol. 2013 Dec;40(4):753-75
pubmed: 24182960
Lancet Public Health. 2018 Jun;3(6):e279-e288
pubmed: 29776800
PLoS One. 2022 Apr 4;17(4):e0265200
pubmed: 35377882
BMC Health Serv Res. 2018 May 10;18(1):350
pubmed: 29747651
Arch Dis Child. 2020 Aug;105(8):810-811
pubmed: 32518141
J Health Serv Res Policy. 1997 Jan;2(1):6-13
pubmed: 10180657
Acad Pediatr. 2013 Sep-Oct;13(5):421-9
pubmed: 23680294
Can Fam Physician. 2008 Dec;54(12):1718-1719.e5
pubmed: 19074718
Lancet Reg Health Eur. 2021 Mar;2:100026
pubmed: 34173625
Pediatrics. 2005 Feb;115(2):e147-51
pubmed: 15687422
BMC Health Serv Res. 2022 Jun 23;22(1):814
pubmed: 35739551
Med Care. 1997 May;35(5):522-37
pubmed: 9140339
Lancet. 2011 Oct 8;378(9799):1325-38
pubmed: 21944375
Lancet. 2007 Oct 13;370(9595):1358-69
pubmed: 17933651
Pediatrics. 2005 Feb;115(2):306-14
pubmed: 15687437
Acad Emerg Med. 2017 Aug;24(8):940-947
pubmed: 28471532
Paediatr Perinat Epidemiol. 2013 Jan;27(1):81-8
pubmed: 23215715
Matern Child Health J. 2012 Oct;16(7):1525-41
pubmed: 22124801
Pediatrics. 2001 Mar;107(3):524-9
pubmed: 11230593
Infants Young Child. 2015 Jan-Mar;28(1):72-87
pubmed: 28316368
PLoS Med. 2020 Mar 3;17(3):e1003043
pubmed: 32126079
Med Care. 1986 Jan;24(1):30-8
pubmed: 3945128
Gen Hosp Psychiatry. 2004 Jul-Aug;26(4):316-22
pubmed: 15234828