Early Hospital Discharge Program in Neonatology

Study Overview
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Brief Summary
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Early discharge of premature infants from the Neonatal Intensive Care Unit will have substantial benefits: (i) diminish parental stress; (ii) increase parental - child bonding; (iii) diminish medical complications derived from prolonged hospitalization; (iv) reduce cost; (v) increase number of point of attendance disponible for future patients.

Detailed Description
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Extremely premature infants have to remain for very prolonged time in the hospital. As a consequence, difficulties for establishing an adequate parental-infant bonding arise causing a substantial parental stress manifested as anxiety and depression, and increasing the risk of short and longterm consequences (neglect, abuse, maltreatment, abandonment). In addition, prolonged hospital stay will increase the probability of having medical complications (infections, excessive blood tests or image studies) and the cost of staying. Once the baby has improved sufficiently early discharge may be given independently of the baby's weight. In order to be successful, caregivers, psychologist and parents have to put forward an established protocol to be able to face satisfactorily this situation. We hypothesize that, with an adequate Early Discharge Program, we could substantially reduce length of hospitalization, cost, and reduce parental stress.

Official Title
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Early Discharge Program From a Regional Reference Neonatal Intensive Care Unit

Conditions
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Prematurity

Intervention / Treatment
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* Other: Early Discharge


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Prematurity No need for hospital support Parents fulfill sociological score Cooperation of primary care pediatrician Exclusion Criteria: Active disease Need for hospital intervention Major congenital malformations Chromosomopathies

Ages Eligible for Study
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Minimum Age: 36 Weeks
Maximum Age: 42 Weeks

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Supportive Care
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: EDA<br>Neonates submitted to the protocol of early discharge. | Other: Early Discharge<br>* Application of an early discharge protocol from the neonatal intensive care unit.<br>|
| No Intervention: SDP<br>Discharge following the standard protocol of the neonatal intensive care unit. | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Reduction in the length of hospitalization. |  | Days of hospitalization | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Parental stress |  | up to 3 months post discharge | 
| Use of Health Resources of the Community |  | up to 3 months post discharge | 
| Reduction in cost of hospitalization |  | Reduction in euros/baby | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Parental stress, Early discharge, Anxiety, Depression, Neonatal Intensive Care Unit