Switch to
| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
5
|
| pubmed:dateCreated |
1997-10-22
|
| pubmed:abstractText |
In a randomized clinical trial, quality of health care as reflected in patient outcomes and cost of health care was compared between two groups of high-risk childbearing women: women diagnosed with diabetes or hypertension in pregnancy. The control group (N = 52) was discharged routinely from the hospital. The intervention group (N = 44) was discharged early using a model of clinical nurse specialist transitional follow-up care. During pregnancy, the intervention group had significantly fewer rehospitalizations than the control group. For infants of diabetic women enrolled in the study during their pregnancy, low birth weight (< or = 2,500 g) was three times more prevalent in the control group (29%) than in the intervention group (8.3%). The postpartum hospital charges for the intervention group were also significantly less than for the control group. The mean total hospital charges for the intervention group were 44% less than for the control group. The mean cost of the clinical specialist follow-up care was 2% of the total hospital charges for the control group. A net savings of $13,327 was realized for each mother-infant dyad discharged early from the hospital.
|
| pubmed:grant | |
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
AIM
|
| pubmed:status |
MEDLINE
|
| pubmed:issn |
0029-6562
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
46
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
254-61
|
| pubmed:dateRevised |
2007-11-14
|
| pubmed:meshHeading |
pubmed-meshheading:9316597-Adult,
pubmed-meshheading:9316597-Aftercare,
pubmed-meshheading:9316597-Female,
pubmed-meshheading:9316597-Health Care Costs,
pubmed-meshheading:9316597-Home Care Services,
pubmed-meshheading:9316597-Hospitalization,
pubmed-meshheading:9316597-Humans,
pubmed-meshheading:9316597-Hypertension,
pubmed-meshheading:9316597-Infant, Newborn,
pubmed-meshheading:9316597-Maternal-Child Nursing,
pubmed-meshheading:9316597-Nurse Clinicians,
pubmed-meshheading:9316597-Patient Discharge,
pubmed-meshheading:9316597-Pregnancy,
pubmed-meshheading:9316597-Pregnancy, High-Risk,
pubmed-meshheading:9316597-Pregnancy Complications, Cardiovascular,
pubmed-meshheading:9316597-Pregnancy Outcome,
pubmed-meshheading:9316597-Pregnancy in Diabetics,
pubmed-meshheading:9316597-Time Factors,
pubmed-meshheading:9316597-Treatment Outcome
|
| pubmed:articleTitle |
A randomized trial of early discharge and nurse specialist transitional follow-up care of high-risk childbearing women.
|
| pubmed:affiliation |
School of Nursing, University of Pennsylvania, Philadelphia 19104-6096, USA.
|
| pubmed:publicationType |
Journal Article,
Clinical Trial,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial
|