Observational study showed that using video consultations was a viable way of delivering an early discharge programme for preterm infants

Author:

Gustavsen Linn Jahren12ORCID,Le Marechal Flore1,Tandberg Bente Silnes13ORCID

Affiliation:

1. Department of Paediatric and Adolescent Medicine Drammen Hospital, Vestre Viken Hospital Trust Drammen Norway

2. Department of Nursing and Health Promotion, Acute and Critical Illness Oslo Metropolitan University, Faculty of Health Sciences Oslo Norway

3. Lovisenberg Diaconal University College Oslo Norway

Abstract

AbstractAimThe aim of this study is to evaluate an early discharge programme with video consultations for preterm infants.MethodsA homecare programme for preterm infants was developed. Prospective data on readmissions, length of stay, growth, breastfeeding rates, and parent self‐reports about satisfaction were collected from April 2021 to August 2023. Additionally, retrospective data were collected from the Norwegian Neonatal Network Central Database from 2020.ResultsPreterm infants, 72 and parents, 128 were included. The infants were discharged from the hospital at a median of 35 + 6 (34 + 0–42 + 4) weeks postmenstrual age. The median length of stay in the program was 18 days (3–37). There were four readmissions. The Z‐score of infant weight slightly increased during the follow up, with a mean of 0.16. By discharge, 75% of the infants were exclusively breastfed. Growth and breastfeeding rates were in line with retrospective data (85 infants). The response rate of the parents to the survey was 61 (52%). Overall, the parents (n = 54) were highly satisfied (96%). The video consultations contributed to ensuring parents to feel safe in caring for their infant at home.ConclusionFollow up by video consultations is a viable healthcare service for preterm infants, the infants' growth is sufficient, breastfeeding rates are maintained, and parents feel safe and satisfied.

Publisher

Wiley

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1. Issue highlights;Acta Paediatrica;2024-06-10

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