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Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes.
Stekelenburg, Iza; van den Hoogen, Agnes; de Lange, Wendela; Peels, Barbara; Vijlbrief, Daniel C.
Afiliação
  • Stekelenburg I; Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
  • van den Hoogen A; Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
  • de Lange W; The Healthcare Innovation Center, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, Utrecht, The Netherlands.
  • Peels B; Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
  • Vijlbrief DC; Department of Neonatology, Wilhelmina Children's Hospital, University Medical Centre Utrecht, Utrecht University, Utrecht, The Netherlands.
Acta Paediatr ; 113(8): 1803-1810, 2024 Aug.
Article em En | MEDLINE | ID: mdl-38837252
ABSTRACT

AIM:

Prolonged hospitalisation in the neonatal intensive care unit (NICU) can emotionally tax newborn infants and their families, resulting in developmental adversities and inadequate parent-infant bonding. This study aimed to assess the feasibility and value of the Baby@Home program in reducing prolonged hospital stays.

METHODS:

This is a retrospective cohort study of 26 infants from a tertiary neonatology department, using qualitative data (gathered through interviews with parents (n = 15) and professionals (n = 5)) and quantitative data (retrieved from medical records and the Luscii application).

RESULTS:

Our study included 26 newborn infants. 76% were premature, born at an average term of 35 weeks and 2 days. During the study period, all infants thrived, and only two adverse events occurred (an allergic reaction and respiratory incident necessitating readmission). Interviews were conducted based on six major themes concerning the feasibility and value of the program. Despite the challenges of application utilisation, the program's overall value was evident.

CONCLUSION:

The Baby@Home program effectively facilitated early discharge, promoted family reunification, and yielded favourable safety and health outcomes. Innovative solutions such as Baby@Home have the potential to pave the way for more sustainable and patient-centred care models.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Alta do Paciente / Recém-Nascido Prematuro Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Alta do Paciente / Recém-Nascido Prematuro Idioma: En Ano de publicação: 2024 Tipo de documento: Article