Telemedicine, a tool for follow-up of infants discharged from the NICU? Experience from a pilot project

Das, Anirudha; Cina, Luciana; Mathew, Ajith; Aziz, Hany; Aly, Hany

doi:10.1038/s41372-020-0593-5

Cited by 16 publications

(18 citation statements)

References 21 publications

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“…The important components and findings of the final included articles are presented in Table 1. Results of the study showed that included studies had a focus on different participants, including Parents, [11][12][13][14][15][16][17][18][19][20][21][22][23][24][25] infants, 26 and nurses. 15,16 Several countries were engaged in the studies, including Nordic countries including Sweden, 10,[13][14][15]23 Denmark, 12,13,26 Iran, [17][18][19][20][21][22] China, 23 and the USA.…”

Section: General Characteristics Of Reviewed Studiesmentioning

confidence: 99%

“…25 The tele-homecare methods were used for post-discharge follow up including telephone (37.4%) 11,17,19,21,22,24 video consultation (18.7%), 12,14,23 Application (18.7%), 13,20,26 combination of App and social net (12.4%), 16,17 social net (5.5%), 18 and telemedicine platform (5.5%). 25 telephone support was considered the most tele-homecare method in the studies and a special telemedicine platform was rarely used.…”

Section: General Characteristics Of Reviewed Studiesmentioning

confidence: 99%

“…In the study, 21 the researcher considered admission time as a beginning point and suggested continuing 1 week after discharge Tele-homecare did not affect some outcomes, including exclusive breastfeeding rate, satisfaction with breastfeeding, 11,26 infants' weight gaining, 26 and the number of parents that had questions about caring for the infant. 25…”

Section: Elements Of Post-discharge Tele-homecare Early Follow-upmentioning

confidence: 99%

“…16 In this respect, consultation, essential general infant care education, and responding to various questions of parents led to parents' confidence, reduction of stress and anxiety, and increase of coherency and attachment between parents and infant by tele-homecare interventions. 11,[15][16][17][18][19][20][21][22][23]25,26 In this situation, a sense of peace and intimacy substitute worries and fears. The parents learn infant body language and enjoy caring for their child, which is the cue of information of reciprocal attachment and coherency between them and their child.…”

Section: Parents Supportmentioning

confidence: 99%

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Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review

Shamsi

Ehteshami

Zandi

et al. 2022

Home Health Care Management & Practice

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The study was conducted to review, categorize and organize early tele-homecare follow-up research in premature infants based on research type, the focus of tele-homecare, and measured outcomes. This narrative review was conducted in 2021 through international databases, including PubMed, Scopus, ProQuest, and Web of Science databases. Studies selected for this purpose included original articles on premature infants. We reviewed 16 out of 267 identified articles. These studies were analyzed according to general characteristics, elements, and characteristics of tele-homecare intervention. Based on the obtained data, most studies had been conducted in Nordic countries as the pioneer in tele homecare. Also, most of them were on the psychological status of premature infants’ parents. Phone calls, video consultation, and applications were considered dominant tele-homecare communication tools. Overall, the qualitative studies on parents’ and health providers’ views about tele homecare revealed its hidden aspects as a supportive tool. The tele-homecare studies were distributed across different fields and countries, resulting in positive outcomes for infants and parents. However, further studies in the long-term periods are recommended to follow up on premature infants.

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Section: General Characteristics Of Reviewed Studiesmentioning

confidence: 99%

Section: General Characteristics Of Reviewed Studiesmentioning

confidence: 99%

Section: Elements Of Post-discharge Tele-homecare Early Follow-upmentioning

confidence: 99%

Section: Parents Supportmentioning

confidence: 99%

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Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review

Shamsi

Ehteshami

Zandi

et al. 2022

Home Health Care Management & Practice

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“…33 Telemedicine has been demonstrated to be a feasible tool for follow-up of NICU discharges. 24 Furthermore, compared with in-person nursing visits, telemedicine visits for newborns have been associated with fewer emergency room visits after discharge from the hospital. 34 Our team previously described our NFP's experiences with transitioning to telemedicine visits, including the steps taken to conduct neurodevelopmental assessments virtually.…”

Section: Discussionmentioning

confidence: 99%

Impact of COVID-19 on Infants followed after Discharge from the Neonatal Intensive Care Unit Using a Telemedicine Model

et al. 2022

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Objective: COVID-19 continues to have a profound impact on infant healthcare and health outcomes. In this study, we aimed to characterize the social impact of the first COVID-19 lockdown on families in a neonatal follow-up program (NFP). Given the ongoing increased use of telehealth across the medicine, we also evaluated for patient-level differences in virtual visit rates to identify patients at risk of follow-up challenges. Methods: In order to assess the impact of virtual healthcare utilization, we conducted a retrospective cohort study to describe challenges associated with telemedicine use in this vulnerable patient population during our telemedicine epoch (March 13, 2020-July 31, 2020). We also looked for patient-level factors associated with attending NFP visits as scheduled. Finally, we summarized caregiver responses to a COVID-19 Obstacles Assessment Survey and assessed for racial disparities in these responses. Results: When comparing patients who completed their virtual visit to those who did not, we found no differences by infants’ sex, birthweight, gestational age at birth or caregiver self-reported race and ethnicity. However, infants whose visits did not occur were more often discharged with equipment or covered by public insurance. Nine percent of families endorsed food insecurity. Conclusion: During the initial COVID-19 lockdown, families with infants discharged from a NICU faced significant obstacles caring for their infants and attending scheduled follow-up visits. Infants in families with lower socioeconomic status or with increased medical complexity faced increased challenges in attending virtual follow-up visits during this epoch. Given the ongoing reliance on telemedicine in healthcare and the need to better prepare for future epidemics/pandemics, this study offers critical information that can assist neonatal teams in bolstering transitions to home and creating stronger safety nets for their patients after discharge.

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Role of the neonatal registered dietitian nutritionist in Canada: A description of staffing and a comparison to practices in the United States

Merlino Barr,

Hand,

Fenton

et al. 2024

Nut in Clin Prac

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BackgroundNeonatal registered dietitian nutritionists (RDNs) are critical members of the neonatal intensive care unit (NICU) team. Ideal RDN staffing levels are unknown. Current staffing levels of neonatal RDNs in Canadian NICUs have not been recently reported. The objective of this study was to describe neonatal RDN staffing and responsibilities in Canada and contrast these findings with those of neonatal RDNs in the United States.MethodsAn online cross‐sectional neonatal RDN survey was performed in the Fall of 2021 to collect hospital‐level and individual‐RDN–level data. Descriptive statistics were performed to summarize Canadian neonatal RDN staffing levels and responsibilities and compared with US findings.ResultsCanadian RDNs reported a median staffing ratio of 25.3 NICU beds per RDN full‐time equivalent, with neonatal RDNs reporting a desired 31% increase in staffing. The majority of Canadian NICUs (n = 20/24) reported having a dedicated space to prepare infant feeds away from bedside. Canadian neonatal RDNs reported wanting to expand their responsibilities in research, administration, and education. Canadian neonatal RDNs reported a higher rate of order writing privileges as compared with that of US neonatal RDNs.ConclusionCanadian neonatal RDNs reported a desired increase in their staffing levels. Neonatal RDNs have the potential to expand their professional role but require additional staffing, dedicated time, and compensation to support this. Further research determining the optimal neonatal RDN staffing ratio to maximize patient outcomes is required.

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Telemedicine, a tool for follow-up of infants discharged from the NICU? Experience from a pilot project

Cited by 16 publications

References 21 publications

Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review

Tele Homecare in Premature Infants’ Post-Discharge Early Follow-Up: A Narrative Review

Impact of COVID-19 on Infants followed after Discharge from the Neonatal Intensive Care Unit Using a Telemedicine Model

Role of the neonatal registered dietitian nutritionist in Canada: A description of staffing and a comparison to practices in the United States

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