PMID: 9637899Jun 25, 1998Paper

Earlier discharge of infants from neonatal intensive care units: a pilot program of specialized case management and home care. Delaware Valley Child Health Alliance

Clinical Pediatrics
S S SpinnerAlan Spitzer

Abstract

A multidisciplinary approach using a neonatology independent physicians association, affiliated hospitals, a pediatric home care company, and a health maintenance organization was designed to promote earlier safe discharge of infants from intensive care. This pilot project involved 43 infants who received case management and early discharge home with home oxygen, monitoring, intravenous antibiotics, gavage feedings, phototherapy, or nutritional management for poor weight gain. A staff neonatologist remained the primary physician until the patient would have been discharged according to standard criteria. Two patients had unscheduled readmissions and all infants survived. This approach resulted in an estimated savings of 456 hospital days and $329,982; 89% of parents rated the care as good to excellent, and 83% were satisfied with the program and outcome. This study suggests that a prospectively designed program can be designed to promote safe earlier discharge of infants in intensive care.

References

Jun 1, 1979·Developmental Medicine and Child Neurology·J A JeffcoateJ K Lloyd
Apr 29, 1976·The New England Journal of Medicine·D G BenefieldJ Reuter
Aug 1, 1992·Research in Nursing & Health·M S MilesM A Kasper
Mar 1, 1992·The Journal of Perinatal & Neonatal Nursing·S E Stephens, G Glazer
Apr 9, 1988·British Medical Journal·J M Couriel, P Davies
Oct 9, 1986·The New England Journal of Medicine·D BrootenM Delivoria-Papadopoulos
Jan 18, 1973·The New England Journal of Medicine·R G Dillard, S B Korones
Jul 1, 1982·Archives of Disease in Childhood·F LefebvreH Bard
Oct 1, 1982·Pediatric Clinics of North America·M Klaus, J Kennell
Aug 1, 1995·The Journal of Pediatrics·L A Gershan, R M Kliegman
Feb 1, 1995·Journal of Paediatrics and Child Health·I D Rieger, D J Henderson-Smart

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Citations

Dec 21, 2004·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Pat Hummel, Jeanette Cronin
Mar 6, 2004·Seminars in Neonatology : SN·T Allen MerrittSusan L Prows
Jan 25, 2005·Archives of Disease in Childhood·G J EscobarE K France
Jul 16, 2011·Journal of Perinatology : Official Journal of the California Perinatal Association·V S KuppalaK Yolton
Oct 4, 2011·The Journal of Pediatrics·Joanne LagattaAlan Spitzer
Oct 30, 1998·Clinical Pediatrics·A R Spitzer
Jun 15, 2012·The Cochrane Database of Systematic Reviews·Kenneth Tan, Nai Ming Lai
Apr 28, 2001·Journal of Perinatology : Official Journal of the California Perinatal Association·D K RichardsonM Mugford
Oct 26, 2018·Pediatrics·Michelle Y HamlineSu-Ting T Li

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