Early discharge and hospital-assisted home care is associated with better neurodevelopmental outcome in preterm infants

Losbar, Jennifer-Laurence; Montjaux, Nathalie; Ehlinger, Virginie; Germany, Laurence; Arnaud, Catherine; Tscherning, Charlotte

doi:10.1016/j.earlhumdev.2021.105451

Cited by 4 publications

(3 citation statements)

References 26 publications

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Section: Discussionmentioning

confidence: 99%

“…We do not present in this paper a full financial analysis of the intervention but these numbers should be taken in the context of the relevant staffing and equipment expenditure. Irrespective of the financial aspects, it is important to remember that decreased length of stay and earlier discharge by senior clinicians promote normal family life in a home environment with enhanced quality of sleep, less exposure to infection risks18 and improved neurodevelopment 19…”

Section: Discussionmentioning

confidence: 99%

“…Irrespective of the financial aspects, it is important to remember that decreased length of stay and earlier discharge by senior clinicians promote normal family life in a home environment with enhanced quality of sleep, less exposure to infection risks 18 and improved neurodevelopment. 19 Interestingly, the introduction of a cross-site model was not associated with a reduction of the total number of admissions per year. This might be explained by the fact that newborn infants constitute an already high-risk patient population.…”

Section: Open Accessmentioning

confidence: 97%

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Multiprofessional cross-site working between a level 1 and a level 3 neonatal unit: a retrospective cohort study

Dassios

Selvadurai

Hickey

et al. 2022

bmjpo

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ObjectiveTo assess the association of short-term neonatal outcomes with cross-site working of multiple healthcare professional teams between a level 3 and a level 1 neonatal unit.DesignRetrospective cohort study.SettingA level 1 neonatal unit in London.PatientsAll infants admitted to the neonatal unit, between 2010 and 2021.InterventionsThe clinical service was rearranged in 2014 with the introduction of cross-site working between the level 1 unit and a level 3 unit of neonatal doctors, nurses and allied healthcare professionals.Main outcome measuresAdmission of infants with a temperature less than 36°C, length of stay and time to first consultation by a senior team member.ResultsA total of 4418 infants were admitted during the study period. The percentage of infants delivered at a gestation below 32 weeks was higher in the pre-cross-site period (8.9%) compared with the cross site period (3.6%, p<0.001). The percentage of infants with an Apgar score less than 8 at 10 min was higher in the pre-cross-site period (6.2%) compared with the cross-site period (3.4%, p=0.001). More infants were admitted with a temperature less than 36°C in the pre-cross site period (12.3%) compared with the cross site period (3.7%, p<0.001). The median (IQR) duration of time to first consultation by a senior team member was higher in the pre-cross-site period (1 (0.5–2.6) hours) compared with the cross-site period (0.5 (0.2–1.3) hours) (p<0.001). The median (IQR) length of stay was 4 (2–11) days in the pre-cross-site period and decreased to 2 (1–4) days in the cross-site period (p<0.001).ConclusionsCross-site working was associated with lower rates of admission hypothermia, shorter duration of stay and earlier first senior consultation.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%