Predictors of mother and infant emergency department attendance and admission: a prospective observational study.
dc.contributor.author | Mason-Jones, AJ | |
dc.contributor.author | Beltrán, L | |
dc.contributor.author | Keding, A | |
dc.contributor.author | Berry, V | |
dc.contributor.author | Blower, SL | |
dc.contributor.author | Whittaker, K | |
dc.contributor.author | Bywater, T | |
dc.date.accessioned | 2023-03-10T09:23:43Z | |
dc.date.issued | 2023-01-26 | |
dc.date.updated | 2023-03-09T18:05:29Z | |
dc.description.abstract | OBJECTIVE: To explore the predictors of emergency department attendance and admission for mothers and their infants. METHODS: 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. RESULTS: 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). CONCLUSIONS FOR PRACTICE: 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. | en_GB |
dc.description.sponsorship | National Institute for Health Research | en_GB |
dc.format.extent | 1-11 | |
dc.format.medium | Print-Electronic | |
dc.identifier.citation | Vol. 27, pp. 527–537 | en_GB |
dc.identifier.doi | https://doi.org/10.1007/s10995-022-03581-5 | |
dc.identifier.grantnumber | NIHR PHR 13/93/10 | en_GB |
dc.identifier.uri | http://hdl.handle.net/10871/132658 | |
dc.identifier | ORCID: 0000-0001-6438-3731 (Berry, Vashti) | |
dc.identifier | ScopusID: 10046697500 (Berry, Vashti) | |
dc.language.iso | en | en_GB |
dc.publisher | Springer | en_GB |
dc.relation.url | https://www.ncbi.nlm.nih.gov/pubmed/36701099 | en_GB |
dc.rights | © The Author(s) 2023. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | en_GB |
dc.subject | Emergency | en_GB |
dc.subject | Ethnicity | en_GB |
dc.subject | Health care utilisation | en_GB |
dc.subject | Inequity | en_GB |
dc.subject | Reproductive health | en_GB |
dc.subject | Respiratory disease | en_GB |
dc.title | Predictors of mother and infant emergency department attendance and admission: a prospective observational study. | en_GB |
dc.type | Article | en_GB |
dc.date.available | 2023-03-10T09:23:43Z | |
dc.identifier.issn | 1092-7875 | |
exeter.place-of-publication | United States | |
dc.description | This is the final version. Available from Springer via the DOI in this record. | en_GB |
dc.description | Data Availability: Anonymised data from this study are available from the corresponding author. If you are interested in accessing these data, a proforma outlining your proposal will be required. Your request will be reviewed by the study team. We will endeavour to respond to requests as soon as possible. The lead author (the manuscript's guarantor) confirms that the manuscript is an honest, accurate, and transparent account of the study being reported, that no important aspects of the study have been omitted and any discrepancies from the study as originally planned have been explained | en_GB |
dc.identifier.eissn | 1573-6628 | |
dc.identifier.journal | Maternal and Child Health Journal | en_GB |
dc.relation.ispartof | Matern Child Health J | |
dc.rights.uri | http://creativecommons.org/licenses/by/4.0/ | en_GB |
dcterms.dateAccepted | 2022-12-20 | |
dc.rights.license | CC BY | |
rioxxterms.version | VoR | en_GB |
rioxxterms.licenseref.startdate | 2023-01-26 | |
rioxxterms.type | Journal Article/Review | en_GB |
refterms.dateFCD | 2023-03-10T09:20:00Z | |
refterms.versionFCD | VoR | |
refterms.dateFOA | 2023-03-10T09:23:49Z | |
refterms.panel | A | en_GB |
refterms.dateFirstOnline | 2023-01-26 |
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provide a link to the Creative Commons licence, and indicate if changes
were made. The images or other third party material in this article are
included in the article's Creative Commons licence, unless indicated
otherwise in a credit line to the material. If material is not included in
the article's Creative Commons licence and your intended use is not
permitted by statutory regulation or exceeds the permitted use, you will
need to obtain permission directly from the copyright holder. To view a
copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.