Pre-discharge Cardiorespiratory Monitoring in Preterm Infants. the CORE Study.

Cresi, Francesco; Cocchi, Enrico; Maggiora, Elena; Pirra, Alice; Logrippo, Federica; Ariotti, Maria Chiara; Peila, Chiara; Bertino, Enrico; Coscia, Alessandra

Cresi, Francesco; Cocchi, Enrico; Maggiora, Elena; Pirra, Alice; Logrippo, Federica; Ariotti, Maria Chiara; Peila, Chiara; Bertino, Enrico; Coscia, Alessandra.

Afiliação

Cresi F; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Cocchi E; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Maggiora E; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Pirra A; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Logrippo F; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Ariotti MC; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Peila C; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Bertino E; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.
Coscia A; Neonatal Intensive Care Unit, City of Health and Science-University of Turin, Turin, Italy.

Front Pediatr ; 8: 234, 2020.

Article em En | MEDLINE | ID: mdl-32582583

ABSTRACT

ABSTRACT

Objective:

Ensuring cardiorespiratory (CR) stability is essential for a safe discharge. The aim of this study was to assess the impact of a new pre-discharge protocol named CORE on the risk of hospital readmission (RHR).

Methods:

Preterm infants admitted in our NICU between 2015 and 2018 were randomly assigned to CORE (exposed) or to standard (not-exposed) discharge protocol. CORE included 24 h-clinical observation, followed by 24 h-instrumental CR monitoring only for high-risk infants. RHR 12 months after discharge and length of stay represent the primary and secondary outcomes, respectively.

Results:

Three hundred and twenty three preterm infants were enrolled. Exposed infants had a lower RHR (log-rank p < 0.05). The difference was especially marked 3 months after discharge (9.09 vs. 21.6%; p = 0.004). The hospital length of stay in exposed and not-exposed infants was 39(26-58) and 43(26-68) days, respectively (p = 0.16).