Nordic survey showed wide variation in discharge practices for very preterm infants
© 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica..
AIM: We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units.
METHODS: Medical directors of all 89 level-2 and level-3 units in Denmark, Finland, Iceland, Norway and Sweden were invited by e-mail to complete a web-based multiple-choice survey with the option to make additional free-text comments.
RESULTS: We received responses from 83/89 units (93%). In all responding units, discharge readiness was based mainly on clinical assessment with varying criteria. In addition, 36% used formal tests of cardiorespiratory stability and 59% used criteria related to infant weight or growth. For discharge with feeding tube, parental ability to speak the national language or English was mandatory in 45% of units, with large variation among countries. Post-discharge home visits and video-consultations were provided by 59% and 51%, respectively. In 54% of units, parental preparation for discharge were not initiated until the last two weeks of hospital stay.
CONCLUSION: Discharge readiness was based mainly on clinical assessment, with criteria varying among units despite similar population characteristics and care structures. This variation indicates a lack of evidence base and may unnecessarily delay discharge; further studies of this matter are needed. Earlier parental preparation and use of interpreters might facilitate earlier discharge.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2024 2023 |
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| Erschienen: |
2024 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:113 |
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| Enthalten in: |
Acta paediatrica (Oslo, Norway : 1992) - 113(2023), 1 vom: 07. Jan., Seite 48-55 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Arwehed, Sofia [VerfasserIn] |
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| Links: |
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| Themen: |
Early discharge |
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| Anmerkungen: |
Date Completed 16.12.2023 Date Revised 16.12.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/apa.16934 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Nordic survey showed wide variation in discharge practices for very preterm infants |
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| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 The Authors. Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica. | ||
| 520 | |a AIM: We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units | ||
| 520 | |a METHODS: Medical directors of all 89 level-2 and level-3 units in Denmark, Finland, Iceland, Norway and Sweden were invited by e-mail to complete a web-based multiple-choice survey with the option to make additional free-text comments | ||
| 520 | |a RESULTS: We received responses from 83/89 units (93%). In all responding units, discharge readiness was based mainly on clinical assessment with varying criteria. In addition, 36% used formal tests of cardiorespiratory stability and 59% used criteria related to infant weight or growth. For discharge with feeding tube, parental ability to speak the national language or English was mandatory in 45% of units, with large variation among countries. Post-discharge home visits and video-consultations were provided by 59% and 51%, respectively. In 54% of units, parental preparation for discharge were not initiated until the last two weeks of hospital stay | ||
| 520 | |a CONCLUSION: Discharge readiness was based mainly on clinical assessment, with criteria varying among units despite similar population characteristics and care structures. This variation indicates a lack of evidence base and may unnecessarily delay discharge; further studies of this matter are needed. Earlier parental preparation and use of interpreters might facilitate earlier discharge | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a length of stay | |
| 650 | 4 | |a neonatal home care | |
| 650 | 4 | |a preterm infant | |
| 650 | 4 | |a telemedicine | |
| 700 | 1 | |a Axelin, Anna |e verfasserin |4 aut | |
| 700 | 1 | |a Björklund, Lars J |e verfasserin |4 aut | |
| 700 | 1 | |a Thernström Blomqvist, Ylva |e verfasserin |4 aut | |
| 700 | 1 | |a Heiring, Christian |e verfasserin |4 aut | |
| 700 | 1 | |a Jonsson, Baldvin |e verfasserin |4 aut | |
| 700 | 1 | |a Klingenberg, Claus |e verfasserin |4 aut | |
| 700 | 1 | |a Metsäranta, Marjo |e verfasserin |4 aut | |
| 700 | 1 | |a Ågren, Johan |e verfasserin |4 aut | |
| 700 | 1 | |a Lehtonen, Liisa |e verfasserin |4 aut | |
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