Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes

Aim Prolonged hospitalisation in the neonatal intensive care unit (NICU) can emotionally tax newborn infants and their families, resulting in developmental adversities and inadequate parent–infant bonding. This study aimed to assess the feasibility and value of the Baby@Home program in reducing prol...

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Bibliographic Details
Published in:Acta Paediatrica 2024-08, Vol.113 (8), p.1803-1810
Main Authors: Stekelenburg, Iza, Hoogen, Agnes, Lange, Wendela, Peels, Barbara, Vijlbrief, Daniel C.
Format: Article
Language:English
Subjects:
(pre)term infant
Allergies
Babies
early discharge
Feasibility Studies
Female
health and developmental outcomes
home monitoring
Humans
Infant, Newborn
Infant, Premature
Infants
Intensive Care Units, Neonatal
Length of Stay - statistics & numerical data
Male
Medical records
Neonates
Newborn babies
parental engagement
Patient Discharge
Program Evaluation
Retrospective Studies
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Summary:Aim Prolonged hospitalisation in the neonatal intensive care unit (NICU) can emotionally tax newborn infants and their families, resulting in developmental adversities and inadequate parent–infant bonding. This study aimed to assess the feasibility and value of the Baby@Home program in reducing prolonged hospital stays. Methods This is a retrospective cohort study of 26 infants from a tertiary neonatology department, using qualitative data (gathered through interviews with parents (n = 15) and professionals (n = 5)) and quantitative data (retrieved from medical records and the Luscii application). Results Our study included 26 newborn infants. 76% were premature, born at an average term of 35 weeks and 2 days. During the study period, all infants thrived, and only two adverse events occurred (an allergic reaction and respiratory incident necessitating readmission). Interviews were conducted based on six major themes concerning the feasibility and value of the program. Despite the challenges of application utilisation, the program's overall value was evident. Conclusion The Baby@Home program effectively facilitated early discharge, promoted family reunification, and yielded favourable safety and health outcomes. Innovative solutions such as Baby@Home have the potential to pave the way for more sustainable and patient‐centred care models.
ISSN:0803-5253
1651-2227
1651-2227
DOI:10.1111/apa.17307