Effects of a Smartphone-Based Out-of-Hospital Screening App for Neonatal Hyperbilirubinemia on Neonatal Readmission Rates and Maternal Anxiety: Randomized Controlled Trial

医学 黄疸 儿科 焦虑 随机对照试验 新生儿重症监护室 精神科 内科学
作者
Qin Yan,Yanhong Gong,Qing Luo,Xiaoxv Yin,Ling Yang,Honglin Wang,Juan Feng,Kai-Hui Xing,Yan Huang,Chuican Huang,Lichun Fan
出处
期刊:Journal of Medical Internet Research [JMIR Publications]
卷期号:24 (11): e37843-e37843 被引量:1
标识
DOI:10.2196/37843
摘要

Background Neonatal hyperbilirubinemia is one of the leading causes of neonatal readmission—especially severe hyperbilirubinemia and its complications—and it influences disease burden as well as neonatal and maternal health. Smartphones have been shown to have satisfactory accuracy in screening neonatal bilirubin levels, but the impact of this technology on neonatal health care service and maternal health outcomes is still unknown. Objective The aim of this study was to evaluate the impact of a smartphone-based out-of-hospital neonatal jaundice screening program on neonatal readmission rates for jaundice and related maternal anxiety. Methods This was a 2-arm, unblinded, randomized controlled trial with 30 days of intervention and follow-up periods. From August 2019 to August 2020, healthy mother-infant dyads were recruited on-site from 3 public hospitals in Hainan, China. Intervention group mothers used the smartphone app to routinely monitor neonatal jaundice at home under the web-based guidance of pediatricians. Control group participants received routine care. The primary study outcome was the neonatal readmission rate due to jaundice within 30 days of the first hospital discharge. The secondary outcome was the maternal anxiety score associated with neonatal jaundice. The data were collected through a self-assessed questionnaire. All participants were included in the analysis (intention-to-treat). Results In this study, 1424 mother-infant dyads were recruited, comprising 1424 mothers and 1424 newborns. The median age of the mothers was 29 (IQR 26-32) years, and there were 714 (50.1%) male neonates. These mother-infant dyads were randomly assigned to the intervention group and the control group, with 712 dyads in each group; only 1187 of these dyads completed the follow-up. We found that the adjusted 30-day neonatal readmission rate due to jaundice reduced by 10.5% (71/605, 11.7% vs 141/582, 24.2%; 95% CI 5%-15.9%; odds ratio 0.4, 95% CI 0.3-0.5; P<.001) and the relevant maternal anxiety mean score decreased by 3.6 (95% CI –4.4 to –2.8; β=–3.6, 95% CI –4.5 to –2.8; P<.001) in the intervention group compared to those in the routine care group. Conclusions Our study shows that the smartphone-based out-of-hospital screening method for neonatal hyperbilirubinemia decreased the neonatal readmission rate within 30 days from the first discharge and improved maternal mental health to some degree, thus demonstrating the usefulness of this screening app for follow-up in pediatric care. Trial Registration China Clinical Trial Registration Center, ChiCTR2100049567; http://www.chictr.org.cn/showproj.aspx?proj=64245
最长约 10秒,即可获得该文献文件

科研通智能强力驱动
Strongly Powered by AbleSci AI
更新
PDF的下载单位、IP信息已删除 (2025-6-4)

科研通是完全免费的文献互助平台,具备全网最快的应助速度,最高的求助完成率。 对每一个文献求助,科研通都将尽心尽力,给求助人一个满意的交代。
实时播报
斯文白白发布了新的文献求助10
刚刚
沈尔云发布了新的文献求助10
刚刚
刚刚
啦啦康发布了新的文献求助10
刚刚
1秒前
YZ发布了新的文献求助30
1秒前
1秒前
1秒前
zyw发布了新的文献求助10
1秒前
迷路以蓝完成签到,获得积分10
2秒前
2秒前
3秒前
陈婷婷发布了新的文献求助10
4秒前
孤标傲世发布了新的文献求助10
4秒前
科目三应助阔达达采纳,获得10
5秒前
5秒前
阳光宅男发布了新的文献求助30
5秒前
bk完成签到,获得积分10
5秒前
天天快乐应助Rachel采纳,获得10
5秒前
ztt发布了新的文献求助10
6秒前
6秒前
brianzk1989完成签到,获得积分0
6秒前
7秒前
7秒前
从容的无极完成签到,获得积分10
8秒前
8秒前
蛋黄苏完成签到,获得积分10
8秒前
现代宛丝发布了新的文献求助10
8秒前
9秒前
9秒前
之逸发布了新的文献求助20
10秒前
瓷穹完成签到,获得积分10
10秒前
羞涩的丹云完成签到,获得积分10
10秒前
千跃完成签到,获得积分10
11秒前
NIKI发布了新的文献求助10
11秒前
阿北完成签到,获得积分10
11秒前
11秒前
英姑应助zzz采纳,获得10
12秒前
Vincy发布了新的文献求助10
12秒前
香蕉觅云应助王哒哒采纳,获得10
12秒前
高分求助中
The Mother of All Tableaux Order, Equivalence, and Geometry in the Large-scale Structure of Optimality Theory 2400
Ophthalmic Equipment Market by Devices(surgical: vitreorentinal,IOLs,OVDs,contact lens,RGP lens,backflush,diagnostic&monitoring:OCT,actorefractor,keratometer,tonometer,ophthalmoscpe,OVD), End User,Buying Criteria-Global Forecast to2029 2000
Cognitive Neuroscience: The Biology of the Mind 1000
Cognitive Neuroscience: The Biology of the Mind (Sixth Edition) 1000
Optimal Transport: A Comprehensive Introduction to Modeling, Analysis, Simulation, Applications 800
Official Methods of Analysis of AOAC INTERNATIONAL 600
ACSM’s Guidelines for Exercise Testing and Prescription, 12th edition 588
热门求助领域 (近24小时)
化学 材料科学 医学 生物 工程类 有机化学 生物化学 物理 内科学 纳米技术 计算机科学 化学工程 复合材料 遗传学 基因 物理化学 催化作用 冶金 细胞生物学 免疫学
热门帖子
关注 科研通微信公众号,转发送积分 3958563
求助须知:如何正确求助?哪些是违规求助? 3504871
关于积分的说明 11120709
捐赠科研通 3236153
什么是DOI,文献DOI怎么找? 1788666
邀请新用户注册赠送积分活动 871279
科研通“疑难数据库(出版商)”最低求助积分说明 802646