Smart Discharges

Smart Discharges is a digital health program of research that uses individual-level risk prediction and intervention to increase effective health seeking behaviour, improve health outcomes, and reduce child mortality during the post-discharge period. By integrating risk-prediction models into digital technology, health workers are able to identify children who are vulnerable to recurrent illness, re-admission, and death after discharge at the time of admission. Health workers mitigate risk by educating caregivers on post-discharge care and by scheduling follow-up visits for vulnerable children in their communities.

Study locations: Uganda, Rwanda
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1 to 10 of 28 Results
Validation of a risk-prediction model for pediatric post-discharge mortality at two hospitals in Rwanda
Apr 18, 2024 - Smart Discharges - Manuscripts
Hooft, Anneka; Kornblith, Aaron E; Umhoza, Christian; Trawin, Jessica; Mfuranziza, Cynthia Grace; Uwiragiye, Emmanuel; Zhang, Cherri; Nguyen, Vuong; Lewis, Peter; Wiens, Matthew O, 2024, "Validation of a risk-prediction model for pediatric post-discharge mortality at two hospitals in Rwanda", https://doi.org/10.5683/SP3/JV4SOA, Borealis, V2
Background:Mortality following hospital discharge remains a significant threat to child health, particularly in resource-limited settings. In Uganda, the Smart Discharges risk-prediction models have demonstrated success in their ability to predict those at highest risk of death a...
Epidemiology of pediatric post-discharge mortality in Rwanda
Apr 18, 2024 - Smart Discharges - Manuscripts
Umuhoza, Christian; Zhang, Cherri; Hooft, Anneka; Trawin, Jessica; Uwiragiye, Emmanuel; Mfuranziza, Cynthia Grace; Nguyen, Vuong; Lewis, Peter; Kornblith, Aaron E; Kenya-Mughisha, Nathan; Wiens, Matthew O, 2024, "Epidemiology of pediatric post-discharge mortality in Rwanda", https://doi.org/10.5683/SP3/60DTRF, Borealis, V1
Background:In Sub-Saharan Africa, pediatric post-discharge death is increasingly recognized as an important contributor to mortality. To address morbidity and mortality during this period, it is critical to generate a representative evidence base throughout sub-Saharan Africa to...
Pediatric post-discharge mortality in resource-poor countries: a systematic review and meta-analysis
Mar 6, 2024 - Smart Discharges - Manuscripts
Knappett, Martina; Nguyen, Vuong; Chaudhry, Maryum; Trawin, Jessica; Kabakyenga, Jerome; Kumbakumba, Elias; Jacob, Shevin T; Ansermino, J Mark; Kissoon, Niranjan; Kenya-Mugisha, Nathan; Wiens, Matthew O, 2024, "Pediatric post-discharge mortality in resource-poor countries: a systematic review and meta-analysis", https://doi.org/10.5683/SP3/B5SZTV, Borealis, V2, UNF:6:LRamRzoDeKgLiqPfCFgH5A== [fileUNF]
Background: Under-five mortality remains concentrated in resource-poor countries. Post-discharge mortality is becoming increasingly recognized as a significant contributor to overall child mortality. With a substantial recent expansion of research and novel data synthesis methods...
Digital adaptation kit for Smart Discharges: operational requirements for implementing Smart Discharge recommendations in digital systems
Jan 17, 2024 - Smart Discharges - Implementation Materials
Institute for Global Health, 2023, "Digital adaptation kit for Smart Discharges: operational requirements for implementing Smart Discharge recommendations in digital systems", https://doi.org/10.5683/SP3/4AD1JE, Borealis, V3
Background: To ensure countries can effectively benefit from digital health investments, digital adaptation kits (DAKs) are designed to facilitate the accurate reflection of clinical, public health and data use guidelines within the digital systems countries are adopting. DAKs ar...
Smart Discharges for Mom & Baby 1.0: Targeted follow-up after facility delivery with accurate predictions of neonatal and maternal morbidity or mortality
Nov 9, 2023 - Smart Discharges - Study Protocols & Supplementary Materials
Pillay, Yashodani; Ngonzi, Joseph; Nguyen, Vuong; Payne, Beth A.; Komugisha, Clare; Twinomujuni, Annet H.; Vidler, Marianne; Lavoie, Pascal M.; Bebell, Lisa M.; Christoffersen-Deb, Astrid; Kenya-Mugisha, Nathan; Kissoon, Niranjan; Ansermino, J Mark; Wiens, Matthew O., 2023, "Smart Discharges for Mom & Baby 1.0: Targeted follow-up after facility delivery with accurate predictions of neonatal and maternal morbidity or mortality", https://doi.org/10.5683/SP3/4OBBEI, Borealis, V1
Background: The first six weeks following delivery bear the most significant and persistent burden of under-5 and maternal death, and severe neonatal and maternal morbidity. Efforts are currently underway to improve outcomes immediately following births at health facilities for b...
Smart Discharges for Mom & Baby 2.0: A cohort study to develop prognostic algorithms for post-discharge readmission and mortality among mother-infant dyads
Jul 24, 2023 - Smart Discharges - Study Protocols & Supplementary Materials
Wiens, Matthew O; Kenya-Mugisha, Nathan; Namala, Angella; Tagoola, Abner; Bebell, Lisa; Pillay, Yashodani; Ansermino, J Mark; Kissoon, Niranjan; Payne, Beth A; Vidlern, Marianne; Christoffersen-Deb, Astrid; Lavoie, Pascal; Bone, Jeffrey, 2023, "Smart Discharges for Mom & Baby 2.0: A cohort study to develop prognostic algorithms for post-discharge readmission and mortality among mother-infant dyads", https://doi.org/10.5683/SP3/EIUHJF, Borealis, V2
Dataset Description: This dataset contains materials from the Smart Discharges for Mom & Baby parent study within the Smart Discharges program of research. Materials include the parent study ethics protocol and associated documents. See the Metadata section below for links to rel...
Transitions from hospital to home: A mixed methods study to evaluate pediatric discharges in Uganda
Jun 29, 2023 - Smart Discharges - Manuscripts
Kabajaasi, Olive; Trawin, Jessica; Derksen, Brooklyn; Komugisha, Clare; Mwaka, Savio; Waiswa, Peter; Nsungwa-Sabiiti, Jesca; Ansermino, J Mark; Kissoon, Niranjan; Duby, Jessica; Kenya-Mugisha, Nathan; Wiens, Matthew O, 2023, "Transitions from hospital to home: A mixed methods study to evaluate pediatric discharges in Uganda", https://doi.org/10.5683/SP3/UMRXBE, Borealis, V1
Background: The World Health Organization (WHO) Integrated Management of Childhood Illness (IMCI) guidelines recognize the importance of discharge planning to ensure continuation of care at home and appropriate follow-up. However, insufficient attention has been paid to post disc...
Smart Discharges Transition to Scale
Jun 15, 2023 - Smart Discharges - Study Protocols & Supplementary Materials
Wiens, Matthew; Trawin, Jessica; Komugisha, Clare; Mwaka, Savio; Nsungwa, Jesca; Kissoon, Niranjan; Ansermino, J Mark; Kenya-Mugisha, Nathan, 2023, "Smart Discharges Transition to Scale", https://doi.org/10.5683/SP3/IDLGNN, Borealis, V1
Dataset Description: This dataset contains materials from a the Smart Discharges Transition to Scale parent study within the Smart Discharges program of research. Materials include the parent study protocol and associated documents. See the Metadata section below for links to rel...
Mortality after hospital discharge among children younger than 5 years admitted with suspected sepsis in Uganda: a prospective, multisite, observational cohort study
May 19, 2023 - Smart Discharges - Manuscripts
Wiens, Matthew O; Bone, Jeffrey N; Kumbakumba, Elias; Businge, Stephen; Tagoola, Abner; Sherine, Sheila Oyella; Byaruhanga, Emmanuel; Ssemwanga, Edward; Barigye, Celestine; Nsungwa, Jesca; Olaro, Charles; Ansermino, J Mark; Kissoon, Niranjan; Singer, Joel; Larson, Charles P; Lavoie, Pascal M; Dunsmuir, Dustin; Moschovis, Peter P; Novakowski, Stefanie; Komugisha, Clare; Tayebwa, Mellon; Mwesignwa, Douglas; Knappett, Martina; West, Nicholas; Nguyen, Vuong; Mugisha, Nathan-Kenya; Kabakyenga, Jerome, 2022, "Mortality after hospital discharge among children younger than 5 years admitted with suspected sepsis in Uganda: a prospective, multisite, observational cohort study", https://doi.org/10.5683/SP3/REPMSY, Borealis, V2, UNF:6:5XWh63Y6B2KW75qS9qasbg== [fileUNF]
Background: Substantial mortality occurs after hospital discharge in children younger than 5 years with suspected sepsis, especially in low-income countries. A better understanding of its epidemiology is needed for effective interventions to reduce child mortality in these countr...
Smart Discharges to improve post-discharge health outcomes in children: A prospective before-after study with staggered implementation
Apr 20, 2023 - Smart Discharges - Study Protocols & Supplementary Materials
Wiens, Matthew; Kissoon, Niranjan (Tex); Ansermino, J Mark; Barigye, Celestine; Businge, Stephen; Kumbakumba, Elias; Larson, Charles; Moschovis, Peter; Singer, Joel; Lavoie, Pascal; Kabakyenga, Jerome, 2023, "Smart Discharges to improve post-discharge health outcomes in children: A prospective before-after study with staggered implementation", https://doi.org/10.5683/SP3/QRUMNQ, Borealis, V1
Dataset Description: This dataset contains materials from a parent study within the Smart Discharges program of research. Materials include the parent study protocol and associated documents. See the Metadata section below for links to related publications and datasets. Backgroun...
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