What Care Pathways for Newborns Consulting Pediatric Emergencies? Prospective Study Over One Year Newborn Pediatric Emergencies (NNUP)
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 280
- 试验地点
- 2
- 主要终点
- Evaluation course of care of newborns
研究概览
简要总结
This study will evaluate the course of care of newborns, to understand why some newborns have improper care pathways, particularly as regards the first medical consultation at the exit of motherhood. It is also to organize a better quality care network to hospital discharge to avoid unnecessary use of pediatric emergencies, which represents a real public health problem.
详细描述
In 2014, newborns represented 1.57% of passages (or 906 newborns) of Emergency Pediatric Hospitals CHU de Nice-Lenval. This proportion is significant and steadily increasing (2013: 820 newborns or 1.46% of passes). The experienced team of pediatric emergency is that the majority of consultations respite care and child care could well be managed city. The bibliographic data confirms this feeling.
But no study has examined the course of care of the newborn during its first month of life. In 2014, in its recommendations for good practice for the release of motherhood after giving birth, the HAS recommends a medical examination by a pediatrician (or a general practitioner with experience of pathologies of the newborn) between 6 and 10 days of life. Other consultations (midwife, health visitor in PMI) is not required. Moreover, in its brochure to mothers, prompt medical attention is recommended in certain situations (fever, vomiting ...) but without specifying the organization. The pediatric emergency therefore no place, except for emergencies, in the course of care of newborns. But the care pathway proposed by the HAS is it feasible? And it reduces unnecessary use of pediatric emergency?
The main objective of this study is to evaluate the course of care of newborns consultant pediatric emergency looks to the recommendations of the 2014 HAS.
The secondary objectives are:
- Identify factors associated with abnormal care course and / or consultation with appropriate non emergencies.
- Evaluate the reasons why parents of newborns to consult pediatric emergency first-line concern and before / after the emergency department visit.
- Evaluate the information received by parents on maternity or during medical consultations or previous paramedical.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- — 至 28 Days（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Newborn within 28 days included
- •Subjects affiliated to Social Security.
- •Non-opposition form signed by the two parents.
排除标准
- •Parental refusal
- •non opposition form not signed by the parents.
研究组 & 干预措施
Newborn Care Pathway
two telephone interviews conducted after the emergency department visit will be used to gather data to meet the objectives of this study.
干预措施: Newborn Care Pathway (Other)
结局指标
主要结局
Evaluation course of care of newborns
时间窗: baseline
Evaluate the course of care of newborns consultant pediatric emergencies as recommended by the National Health Authority in 2014.
次要结局
- Evaluation of abnormal care path(baseline)
- Evaluate reasons to come to pediatric emergency(baseline)
- Evaluate the information received by parents(baseline)