{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,22]],"date-time":"2026-05-22T17:10:05Z","timestamp":1779469805002,"version":"3.53.1"},"reference-count":43,"publisher":"American Academy of Pediatrics (AAP)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,10,1]]},"abstract":"<jats:sec>\n                    <jats:title\/>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBJECTIVES<\/jats:title>\n                    <jats:p>To assess the risk of concurrent emergency department use (Co-ED) among women with a preexisting disability and their infants.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS<\/jats:title>\n                    <jats:p>This population-based cohort study was completed in Ontario, Canada. Included were all mother\u2013infant pairs with a hospital delivery, 2008\u20132023. Those with a maternal physical (N\u2009=\u2009152\u2009171), sensory (N\u2009=\u200954\u2009716), or intellectual\/developmental (N\u2009=\u20092913) disability or multiple disabilities (N\u2009=\u200911\u2009800) were compared with those with no disability (N\u2009=\u20091\u2009548\u2009178). Multinomial logistic regression\u2013generated odds ratios (ORs) and 95% CI for Co-ED (ie, mother and infant both had emergency department (ED) visits within 90\u00a0days after hospital discharge), a maternal ED visit only, or an infant ED visit only were calculated, each vs no ED visit. Models were adjusted for maternal age, parity, income quintile, rurality, immigration status, and delivery year.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Co-ED was more likely among women with (5.4%) than without (3.4%) a disability (adjusted OR [aOR], 1.66; 95% CI, 1.62\u20131.71). The median number of days between the first maternal and first infant ED visit was 19 (IQR, 4\u201341) days, and 18.3% occurred within 24\u00a0hours of each other. The aOR for maternal ED visit alone was 1.38 (95% CI, 1.35\u20131.40) and 1.20 (95% CI, 1.19\u20131.22) for an infant ED visit alone.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Co-ED was an important outcome for all mother\u2013infant pairs, particularly so for mothers with a disability, of whom about 1 in 20 experienced Co-ED. These dyads may benefit from careful postdischarge planning during the birth hospital stay and enhanced outpatient health care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1542\/peds.2025-071883","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T00:02:31Z","timestamp":1758067351000},"source":"Crossref","is-referenced-by-count":0,"title":["Concurrent Emergency Department Use by a New Mother With a Disability and Her Newborn"],"prefix":"10.1542","volume":"156","author":[{"given":"Hilary K.","family":"Brown","sequence":"first","affiliation":[{"name":"1Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada"},{"name":"2Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada"},{"name":"3ICES, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catherine E.","family":"Varner","sequence":"additional","affiliation":[{"name":"4Schwartz\/Reisman Emergency Medicine Institute, Toronto, Ontario, Canada"},{"name":"5Department of Emergency Medicine, Mount Sinai Hospital, Toronto, Ontario, Canada"},{"name":"6Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yona","family":"Lunsky","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"},{"name":"7Azrieli Adult Neurodevelopmental Centre, Centre for Addiction & Mental Health, Toronto, Ontario, Canada"},{"name":"8Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria","family":"Santiago-Jimenez","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kinwah","family":"Fung","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eyal","family":"Cohen","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"},{"name":"9Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"10Edwin S.H. Leong Centre for Healthy Children, University of Toronto, Toronto, Ontario, Canada"},{"name":"11Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid","family":"Guttmann","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"},{"name":"9Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"10Edwin S.H. Leong Centre for Healthy Children, University of Toronto, Toronto, Ontario, Canada"},{"name":"11Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelina","family":"Pituch","sequence":"additional","affiliation":[{"name":"1Department of Health & Society, University of Toronto Scarborough, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natasha","family":"Saunders","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"},{"name":"9Hospital for Sick Children, Toronto, Ontario, Canada"},{"name":"10Edwin S.H. Leong Centre for Healthy Children, University of Toronto, Toronto, Ontario, Canada"},{"name":"11Department of Pediatrics, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deanna","family":"Telner","sequence":"additional","affiliation":[{"name":"6Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simone N.","family":"Vigod","sequence":"additional","affiliation":[{"name":"3ICES, Toronto, Ontario, Canada"},{"name":"8Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada"},{"name":"12Women\u2019s College Research Institute, Women\u2019s College Hospital, Toronto, Ontario, Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Zwicker","sequence":"additional","affiliation":[{"name":"13Faculty of Kinesiology, University of Calgary, Calgary, Alberta, 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