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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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| Published in: | Acta Paediatrica 2024-08, Vol.113 (8), p.1803-1810 |
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| Main Authors: | , , , , |
| Format: | Article |
| Language: | English |
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| container_end_page | 1810 |
| container_issue | 8 |
| container_start_page | 1803 |
| container_title | Acta Paediatrica |
| container_volume | 113 |
| creator | Stekelenburg, Iza Hoogen, Agnes Lange, Wendela Peels, Barbara Vijlbrief, Daniel C. |
| description | 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. |
| doi_str_mv | 10.1111/apa.17307 |
| format | article |
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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.</description><identifier>ISSN: 0803-5253</identifier><identifier>ISSN: 1651-2227</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.17307</identifier><identifier>PMID: 38837252</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>(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</subject><ispartof>Acta Paediatrica, 2024-08, Vol.113 (8), p.1803-1810</ispartof><rights>2024 The Author(s). published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2024 The Author(s). Acta Paediatrica published by John Wiley & Sons Ltd on behalf of Foundation Acta Paediatrica.</rights><rights>2024. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c2787-52979ce98b6a38e8c80e8a496bc2423f9811695c7e95bbd5da67ff4f8eb3fbbe3</cites><orcidid>0000-0003-2032-2472 ; 0009-0006-0539-7109</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.17307$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.17307$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,780,784,11562,27924,27925,46052,46476</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38837252$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Stekelenburg, Iza</creatorcontrib><creatorcontrib>Hoogen, Agnes</creatorcontrib><creatorcontrib>Lange, Wendela</creatorcontrib><creatorcontrib>Peels, Barbara</creatorcontrib><creatorcontrib>Vijlbrief, Daniel C.</creatorcontrib><title>Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>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.</description><subject>(pre)term infant</subject><subject>Allergies</subject><subject>Babies</subject><subject>early discharge</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>health and developmental outcomes</subject><subject>home monitoring</subject><subject>Humans</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infants</subject><subject>Intensive Care Units, Neonatal</subject><subject>Length of Stay - statistics & numerical data</subject><subject>Male</subject><subject>Medical records</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>parental engagement</subject><subject>Patient Discharge</subject><subject>Program Evaluation</subject><subject>Retrospective Studies</subject><issn>0803-5253</issn><issn>1651-2227</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><recordid>eNp10ctOGzEUBmCralXCZcELVJa6IYuAL-Oxp6sGlDaVkGAB69HxzHEy0VxS29Mob48h0AUS3pzNp1_n-CfknLNLnt4VbOGSa8n0JzLhueIzIYT-TCbMMDlTQskjchzChjEhiyz_So6kMVILJSZkt_gH7Qix6Vc0rpFeg93_XA4d0q0fVh66H3QBvt3TugnVGvwKaYgeIq4aDNQNnl5sPU4j-o42vYM-Bgo-IXBIoa-pxR5dE-kaoY1rOoyxSunhlHxx0AY8e50n5PHX4uFmObu9-_3nZn47q4Q2Oi1f6KLCwtgcpEFTGYYGsiK3lciEdIXhPC9UpbFQ1taqhlw7lzmDVjprUZ6Qi0NuOufviCGWXToE2xZ6HMZQSpYroTUzPNHv7-hmGH2ftktKG5EZoZ7V9KAqP4Tg0ZVb33Tg9yVn5XMbZWqjfGkj2W-viaPtsP4v374_gasD2DUt7j9OKuf380PkE5LvlCw</recordid><startdate>202408</startdate><enddate>202408</enddate><creator>Stekelenburg, Iza</creator><creator>Hoogen, Agnes</creator><creator>Lange, Wendela</creator><creator>Peels, Barbara</creator><creator>Vijlbrief, Daniel C.</creator><general>Wiley Subscription Services, Inc</general><scope>24P</scope><scope>WIN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-2032-2472</orcidid><orcidid>https://orcid.org/0009-0006-0539-7109</orcidid></search><sort><creationdate>202408</creationdate><title>Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes</title><author>Stekelenburg, Iza ; Hoogen, Agnes ; Lange, Wendela ; Peels, Barbara ; Vijlbrief, Daniel C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2787-52979ce98b6a38e8c80e8a496bc2423f9811695c7e95bbd5da67ff4f8eb3fbbe3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>(pre)term infant</topic><topic>Allergies</topic><topic>Babies</topic><topic>early discharge</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>health and developmental outcomes</topic><topic>home monitoring</topic><topic>Humans</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Infants</topic><topic>Intensive Care Units, Neonatal</topic><topic>Length of Stay - statistics & numerical data</topic><topic>Male</topic><topic>Medical records</topic><topic>Neonates</topic><topic>Newborn babies</topic><topic>parental engagement</topic><topic>Patient Discharge</topic><topic>Program Evaluation</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Stekelenburg, Iza</creatorcontrib><creatorcontrib>Hoogen, Agnes</creatorcontrib><creatorcontrib>Lange, Wendela</creatorcontrib><creatorcontrib>Peels, Barbara</creatorcontrib><creatorcontrib>Vijlbrief, Daniel C.</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Wiley Online Library Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Stekelenburg, Iza</au><au>Hoogen, Agnes</au><au>Lange, Wendela</au><au>Peels, Barbara</au><au>Vijlbrief, Daniel C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2024-08</date><risdate>2024</risdate><volume>113</volume><issue>8</issue><spage>1803</spage><epage>1810</epage><pages>1803-1810</pages><issn>0803-5253</issn><issn>1651-2227</issn><eissn>1651-2227</eissn><abstract>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.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>38837252</pmid><doi>10.1111/apa.17307</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0003-2032-2472</orcidid><orcidid>https://orcid.org/0009-0006-0539-7109</orcidid><oa>free_for_read</oa></addata></record> |
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| ispartof | Acta Paediatrica, 2024-08, Vol.113 (8), p.1803-1810 |
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| source | Wiley; Wiley Online Library Open Access |
| 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 |
| title | Evaluating the Baby@Home program: Early discharge strategies for (pre)term infants are safe and benefit health outcomes |
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