Early Hospital Discharge Program in Neonatology (EDNEO)

Fundacion Para La Investigacion Hospital La Fe

Status: Completed

Conditions: Prematurity

Treatments: Other: Early Discharge

Study type: Interventional

Funder types: Other

Identifiers

NCT00569608

AP015/06

FIHLaFe

Details and patient eligibility

About

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.

Full description

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.

Enrollment: 140 patients

Sex: All

Ages: 36 to 42 weeks old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Single Group Assignment

Masking: Single Blind

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140 participants in 2 patient groups

EDA

Experimental group

Description:

Neonates submitted to the protocol of early discharge.

Treatment:

Other: Early Discharge

SDP

No Intervention group

Description:

Discharge following the standard protocol of the neonatal intensive care unit.