[Early discharge of the healthy newborn from the nursery of the Hospital Español de México].
BACKGROUND
The risk-benefit of early discharge in newborns is controversial. We haven't found studies that analyze newborn variables and their impact in morbility with early postnatal discharge. We analyze the main variables and their statistical association with the need of additional therapy in early discharged newborns.


METHODS
Observational prolective study in full-term newborns from their birth until their discharge from August to December, 2013. It was made a telephone follow-up to know their health status. The dependent variables were the hours of hospital stay, additional therapies and treatment in the first month.


RESULTS
701 full-term newborns were included in the study, 41 used additional treatment, 23 had to be at the ICU (22 < 24 hours). There was a relative risk (RR) of 12.9 if the Apgar was < 8.8. Also, the risk of needing additional therapy was 9 times greater if the baby was born after a pregnancy of less than 38 weeks. Low weight for gestational age triplicated the risk for admission to ICU. The main variables that had an influence in requiring additional therapy were an Apgar < 8 at 5 minutes, having more than 38 weeks of gestation, and low weight.


CONCLUSIONS
The elements to manage patients with early discharge are concrete signs that would cause suspicion, follow-up with pediatrician at 3 days of life, more attention to those with an Apgar < 8 at 5 minutes of life, having less than 38 weeks of gestation, or low birth weight for gestational age.
Facultad de Medicina, Universidad La Salle, Ciudad de México, México. dra.lsbl@gmail.com.
Lorena
L
Santos Burgoa-Larrañaga
José
J
Iglesias-Leboreiro
Isabel
I
Bernardez-Zapata
D005260:Female; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008800:Mexico; D010351:Patient Discharge; D011181:Postnatal Care / Q000379:methods* / Q000706:statistics & numerical data; D018570:Risk Assessment
Newborn infant; Relative risk