Problem identification in apparently well neonates: Implications for earlydischarge

The frequency time of identification, and type of problems of newborns in a n urban indigent population were prospectively studied during their hospita l stay to evaluate feasibility of early hospital discharge. Eight percent ( 563) of 7,021 term and near-term low-risk infants developed one or more pre defined problems. Of those with problems, 42.1% received therapy and/or a h igher level of care. Tachypnea, temperature instability and cyanotic episod es were the most frequently treated problems. Nearly 69% of all problems we re detected after the initial examination, and 31% developed problems after 24 hours of age; 5% were transferred to the NICU. Problems occurring after 24 hours of age emphasize the need for follow-up within days after hospita l discharge in this population.