Early Hospital Discharge Program in Neonatology (EDNEO)
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.
|Study Design:||Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Supportive Care
|Official Title:||Early Discharge Program From a Regional Reference Neonatal Intensive Care Unit|
- Reduction in the length of hospitalization. [ Time Frame: Days of hospitalization ] [ Designated as safety issue: Yes ]
- Parental stress [ Time Frame: up to 3 months post discharge ] [ Designated as safety issue: No ]
- Use of Health Resources of the Community [ Time Frame: up to 3 months post discharge ] [ Designated as safety issue: No ]
- Reduction in cost of hospitalization [ Time Frame: Reduction in euros/baby ] [ Designated as safety issue: No ]
|Study Start Date:||January 2005|
|Study Completion Date:||October 2006|
Neonates submitted to the protocol of early discharge.
Other: Early Discharge
Application of an early discharge protocol from the neonatal intensive care unit.
No Intervention: SDP
Discharge following the standard protocol of the neonatal intensive care unit.
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.