Early hospital discharge of preterm very low birth weight infants

OBJECTIVE: The objective of this study was to investigate whether early discharge from the hospital was feasible for selected very low birth weight (VLBW) infants.

STUDY DESIGN: A randomized clinical trial of discharge of VLBW infants from the neonatal intensive care unit at 1300 gm versus 1800 gm was done comparing weight gain and incidence of infection. Forty-three VLBW infants treated in the neonatal intensive care unit and follow-up clinics of the Hospital Universitario del Valle, Cali, Colombia, were entered into the study at 1300 to 1350 gm when they met behavioral criteria for discharge and the family home was approved.

RESULTS: There were no differences in weight gain or incidence of infection in the home group compared with the hospital group. A significant saving in hospital days and hospital costs was realized for the home group. Family cooperation was heightened in the home group.

CONCLUSIONS: Early discharge from the hospital at weights as low as 1300 to 1350 gm is safe for the VLBW infant when properly selected on the basis of behavioral criteria and environmental approval. The potential savings in hospital costs should be considered when resources are allocated for continued support for these infants.

Medienart:

Artikel

Erscheinungsjahr:

1997

Erschienen:

1997

Enthalten in:

Zur Gesamtaufnahme - volume:17

Enthalten in:

Journal of perinatology : official journal of the California Perinatal Association - 17(1997), 1 vom: 01. Jan., Seite 29-32

Sprache:

Englisch

Beteiligte Personen:

Cruz, H [VerfasserIn]
Guzman, N [VerfasserIn]
Rosales, M [VerfasserIn]
Bastidas, J [VerfasserIn]
Garcia, J [VerfasserIn]
Hurtado, I [VerfasserIn]
Rojas, M E [VerfasserIn]
Hodgman, J E [VerfasserIn]

Themen:

Age Factors
Americas
Biology
Birth Weight
Body Weight
Clinical Trial
Colombia
Comparative Studies
Delivery Of Health Care
Demographic Factors
Developing Countries
Health
Health Facilities
Hospitals
Infant
Infant, Premature
Journal Article
Latin America
Low Birth Weight
Organization And Administration
Physiology
Population
Population Characteristics
Population Dynamics
Procedures
Randomized Controlled Trial
Research Methodology
Research Report
Research Support, Non-U.S. Gov't
South America
Studies
Time Factors
Youth

Anmerkungen:

Date Completed 16.06.1997

Date Revised 15.11.2006

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM090310705