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Clinical Pediatrics
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Early Hospital Discharge and the Timing Of Newborn Metabolic Screening

Deborah Coody, R.N., M.S.N., P.N.P.

The University of Texas Medical School at Houston, Houston, Texas

Robert J. Yetman, M.D.

The University of Texas Medical School at Houston, Houston, Texas

Diane Montgomery, R.N., M.S.N., P.N.P.

The University of Texas Medical School at Houston, Houston, Texas

Jan van Eys, M.D.

The University of Texas Medical School at Houston, Houston, Texas

Cost containment measures have reduced dramatically the length of stay for normal newborns, in some cases jeopardizing the ability to obtain appropriate newborn screens. In our hospital, we found that an unacceptable number of patients had mistakenly been screened before 24 hours of age. As pressures to shorten hospitalization increase, health-care providers must examine the impact of such changes on their ability to obtain adequate newborn screens. Potential solutions include continued vigilance in gathering specimens after 24 hours of age, interpretation of time-sensitive tests in an age-adjusted manner, and repeating newborn screens after 24 hours of age.

Clinical Pediatrics, Vol. 32, No. 8, 463-466 (1993)
DOI: 10.1177/000992289303200804
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