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Maternal Emergency Department Use Before Pregnancy and Infant Emergency Department Use After Birth

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Key Points Question What is the association between maternal prepregnancy emergency department (ED) use and infant ED use in the first year of life? Findings This population-based cohort study of… Click to show full abstract

Key Points Question What is the association between maternal prepregnancy emergency department (ED) use and infant ED use in the first year of life? Findings This population-based cohort study of 2 088 111 singleton livebirths was completed within a universal health care system. An ED visit within 90 days before the start of pregnancy was associated with a higher risk of an infant ED visit(s), and low-acuity maternal ED visits were most highly associated with low-acuity infant ED visits. Meaning This study’s results suggest that prepregnancy ED use forecasts a higher rate of ED use in infants, and it potentially offers a useful trigger for health system interventions to decrease acute care utilization for low acuity indications in infancy.

Keywords: emergency department; infant; use; department use

Journal Title: JAMA Network Open
Year Published: 2023

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