Assessment of the Impact of the Return Home of Premature Newborns With Intrauterine Growth Retardation Weighing Less Than 2 Kilos (Low Birth Weight) on Short- and Long-term Morbidity/Mortality
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 40
- 试验地点
- 2
- 主要终点
- Observation of the short-term outcome of neonates discharged from the neonatology department hospital (Pontoise site) between 2012 and 2024 with a weight of less than 2 kilos.
研究概览
简要总结
The aim of this study is to evaluate the impact of discharge from hospital with a weight of less than 2 kilos.
To do this, the investigator will look at the short-term and long-term outcome of newborns weighing less than 2 kilos who were discharged from the neonatology department at the NOVO hospital between 2012 and 2024.
详细描述
Prematurity in itself, whether simple or associated with intrauterine growth retardation, continues to be a real public health problem. In addition to gestational age at birth, the presence of co-morbidities can affect the morbidity and mortality of premature babies, as well as the length of hospital stay.
Advances in neonatal care and the involvement and skills of parents in the care of premature infants have led to a considerable reduction in mortality among these patients. According to the latest recommendations published in November 2022 by the WHO, and thanks to changes in the criteria for discharging these patients in recent years, the same applies to low-birthweight infants.
The early and well-planned discharge of premature babies is currently the subject of a great deal of study and research. According to these studies, it has been shown that the essential criteria for this discharge are the physiological capacities and skills of these vulnerable patients (thermoregulation, autonomous feeding and breathing, etc.). Essential care, parental support and home visits by qualified health workers (PMI, HAD, etc.) are also essential.
Premature birth has a real impact on the economic consequences in several countries. Infants small for gestational age had longer hospital stays, were more likely to be admitted to an intensive care unit and were more likely to be hospitalised in the first year of life, resulting in higher costs.
It is against this backdrop that the NOVO hospital is proposing to evaluate the impact of discharging babies weighing less than 2 kilos. To do this, the investigator will base his study on the short-term and long-term outcome of newborns weighing less than 2 kilos who were discharged from the NOVO hospital's neonatology department between 2012 and 2024.
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
- 1 Month 至 11 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Premature newborn baby (born at less than 37 days' gestation)
- •Newborn baby with IUGR (Intra-Uterine Growth Retardation)
- •Newborn baby hospitalised in the neonatology department of the NOVO hospital - Pontoise site
- •Patient born between 01/01/2012 and 31/12/
- •Newborn who has left the neonatology department or the Kangaroo Unit to return home weighing less than 2 kg.
- •Newborn beneficiary of a social security scheme or entitled person.
排除标准
- •Newborn transferred to another hospital before discharge.
- •Refusal by one of the parents.
- •Parent does not speak or understand French.
结局指标
主要结局
Observation of the short-term outcome of neonates discharged from the neonatology department hospital (Pontoise site) between 2012 and 2024 with a weight of less than 2 kilos.
时间窗: At the end of the study, an average of 11 month
The short-term outcom is observed with the number of newborns weighing less than 2 kilos readmitted to hospital 30 days after discharge from the neonatology department of the NOVO hospital (Pontoise site) between 01/01/2012 and 31/12/2024. This data will be obtained from the questionnaire sent to the child's parents (question number 9 - "At the time of discharge" section).
次要结局
- Remote observation of parents' experiences(At the end of the study, an average of 6 month)
- Observation of the incidence of Sudden Unexplained Infant Death Syndrome (SUIDS)(At the end of the study, an average of 11 month)
- Observation of the growth of the cranial perimeter(At the end of the study, an average of 11 month)
- Observation of morbidity associated with neonatal discharge at less than 2 kilos(At the end of the study, an average of 6 month)
- Observation of weight growth(At the end of the study, an average of 11 month)
- Observation of height growth(At the end of the study, an average of 11 month)
- Observation of the support offered to parents(At the end of the study, an average of 6 month)
- Description of medical positions on minimum discharge weight(At the end of the study, an average of 6 month)