Early Discharge Program From a Regional Reference Neonatal Intensive Care Unit
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Prematurity
- Sponsor
- Fundacion Para La Investigacion Hospital La Fe
- Enrollment
- 140
- Locations
- 1
- Primary Endpoint
- Reduction in the length of hospitalization.
- Status
- Completed
- Last Updated
- 18 years ago
Overview
Brief Summary
Early discharge of premature infants from the Neonatal Intensive Care Unit will have substantial benefits:
(i) diminish parental stress;
(ii) increase parental - child bonding;
(iii) diminish medical complications derived from prolonged hospitalization;
(iv) reduce cost;
(v) increase number of point of attendance disponible for future patients.
Detailed Description
Extremely premature infants have to remain for very prolonged time in the hospital. As a consequence, difficulties for establishing an adequate parental-infant bonding arise causing a substantial parental stress manifested as anxiety and depression, and increasing the risk of short and longterm consequences (neglect, abuse, maltreatment, abandonment). In addition, prolonged hospital stay will increase the probability of having medical complications (infections, excessive blood tests or image studies) and the cost of staying. Once the baby has improved sufficiently early discharge may be given independently of the baby's weight. In order to be successful, caregivers, psychologist and parents have to put forward an established protocol to be able to face satisfactorily this situation. We hypothesize that, with an adequate Early Discharge Program, we could substantially reduce length of hospitalization, cost, and reduce parental stress.
Investigators
Eligibility Criteria
Inclusion Criteria
- •Prematurity
- •No need for hospital support
- •Parents fulfill sociological score
- •Cooperation of primary care pediatrician
Exclusion Criteria
- •Active disease
- •Need for hospital intervention
- •Major congenital malformations
- •Chromosomopathies
Outcomes
Primary Outcomes
Reduction in the length of hospitalization.
Time Frame: Days of hospitalization
Secondary Outcomes
- Parental stress(up to 3 months post discharge)
- Use of Health Resources of the Community(up to 3 months post discharge)
- Reduction in cost of hospitalization(Reduction in euros/baby)