{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:59:46Z","timestamp":1790222386884,"version":"4.1.0"},"reference-count":26,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T00:00:00Z","timestamp":1789862400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Medically complex infants comprise a small fraction of births yet account for disproportionate health care utilization after neonatal intensive care unit (NICU) discharge. We evaluated a 30-day postdischarge remote patient management (RPMT) program\u2014Neonatal Collaborative Assistance and Telehealth for Complex Homecare (CATCH)\u2014combining remote therapeutic monitoring and structured caregiver support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>In a pragmatic, staged rollout (March 2023 to February 2025), we prospectively followed eligible NICU graduates discharged on tube feeds, yielding two cohorts: enrolled (E) and not enrolled (NE), plus a historical \u201cwould-have-been-eligible\u201d cohort. Interventions included telemedicine visits, bidirectional text message check-ins, and collaboration with primary and subspecialty care teams. Outcomes were 30-day readmission (RA30), 30-day ED visit (EDV30), frequency and types of interventions, Net Promoter Score, and weight gain. Analyses used statistical process control (SPC) methods, bivariate tests, and logistic regression modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Three hundred and two and 254 infants were, respectively, E and NE during CATCH implementation, plus 853 historical controls for a total of 1,409\u00a0eligible infants. Mean weight gain did not differ (18.8 vs. 22.3 g;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.28). RA30 was lower in E versus NE (13% vs. 22%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt; 0.01), and EDV30 was lower in E versus NE (21% vs. 28%;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      = 0.08). Regression and inferential statistics provided a deeper understanding, complemented by SPC time charts that included comparison with historical cohort. At least one \u201cgood catch\u201d intervention occurred in 23% of enrolled infants with the majority closing communication gaps among health care team members; net promoter score was 89.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A structured RPMT program immediately after NICU discharge was associated with lower 30-day readmissions, beneficial interventions, and was highly recommended by families. Future studies and actions must address social determinants such as interpreter access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15305627261488138","type":"journal-article","created":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T05:22:33Z","timestamp":1789968153000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Neonatal CATCH Program: Remote Monitoring Benefits Medically Complex Infants at Home"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8981-9906","authenticated-orcid":false,"given":"John","family":"Chuo","sequence":"first","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."},{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Spotts","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristen","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meredith","family":"White","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Perkins","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jess","family":"Boyle","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bolu","family":"Oluwalade","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"Coyle","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Hadley","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tamar","family":"Preminger","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."},{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bimal","family":"Desai","sequence":"additional","affiliation":[{"name":"Division of Neonatology, Children\u2019s Hospital of Philadelphia, Philadelphia, Pennsylvania, USA."},{"name":"Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,9,20]]},"reference":[{"issue":"525","key":"e_1_3_3_2_1","first-page":"CS357495","article-title":"Increases in neonatal intensive care admissions in the United States, 2016\u20132023","volume":"525","author":"Martin JA","year":"2025","unstructured":"1.Martin JA, , Osterman MJK. Increases in neonatal intensive care admissions in the United States, 2016\u20132023. NCHS Data Brief 2025;525(525):CS357495; doi: 10.15620\/cdc\/174581","journal-title":"NCHS Data Brief"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2017.3913"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2023-061957"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.1305"},{"key":"e_1_3_3_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.5239"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2016-3021"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2012-0175"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2025-071774"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2019-2401"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2019.0066"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2025.114802"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2021-050400"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2025.0105"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANC.0000000000000460"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.semperi.2021.151429"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/nur.20271"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph18084066"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2024.0300"},{"key":"e_1_3_3_20_1","unstructured":"19.Diversitydatakids.org. Child Opportunity Index (COI). Available from: https:\/\/www.diversitydatakids.org\/child-opportunity-index"},{"key":"e_1_3_3_21_1","unstructured":"20.Agency for Healthcare Research and Quality. Clinical Classifications Software (CCS) for ICD-10. Available from: https:\/\/hcup-us.ahrq.gov\/toolssoftware\/ccs10\/ccs10.jsp"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.clp.2017.05.011"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280215596550"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/sim.6782"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606-021-07207-4"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.8.1074"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.15970"}],"container-title":["Telemedicine and e-Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627261488138","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15305627261488138","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15305627261488138","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T03:16:25Z","timestamp":1790219785000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15305627261488138"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,20]]},"references-count":26,"alternative-id":["10.1177\/15305627261488138"],"URL":"https:\/\/doi.org\/10.1177\/15305627261488138","relation":{},"ISSN":["1530-5627","1556-3669"],"issn-type":[{"value":"1530-5627","type":"print"},{"value":"1556-3669","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,20]]},"article-number":"15305627261488138"}}