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

Publication date

2024-08

Authors

Stekelenburg, Iza
van den Hoogen, AgnesISNI 0000000395590957
de Lange, Wendela
Peels, Barbara
Vijlbrief, Daniel CORCID 0000-0002-2682-7386ISNI 0000000419423353

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Advisors

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Document Type

Article

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License

cc_by_nc_nd

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.

Keywords

(pre)term infant, early discharge, health and developmental outcomes, home monitoring, parental engagement, Pediatrics, Perinatology, and Child Health, Journal Article

Citation

Stekelenburg, I, van den Hoogen, A, de Lange, W, Peels, B & Vijlbrief, D C 2024, 'Evaluating the Baby@Home program : Early discharge strategies for (pre)term infants are safe and benefit health outcomes', Acta Paediatrica, vol. 113, no. 8, pp. 1803-1810. https://doi.org/10.1111/apa.17307