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[Changes in homecare for preterm and low-birth-weight infants from 2002 to 2014]

Josep Figueras Aloy1, M Teresa Esqué Ruiz1, Lourdes Arroyo Gili1

  • 1Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España.

Anales De Pediatria (Barcelona, Spain : 2003)
|March 8, 2016
PubMed

Insights

Homecare services for preterm and low-birth-weight infants have improved, reducing hospitalizations and increasing breastfeeding rates. This enhanced care maintains quality and family satisfaction while shortening hospital stays.

Area of Science:

  • Neonatal care
  • Pediatric homecare
  • Infant health outcomes

Background:

  • Homecare (HC) provides hospital-level medical and nursing care at home.
  • This study examines changes in HC for preterm and low-birth-weight infants between 2002 and 2014.

Purpose of the Study:

  • To describe the evolution of homecare services for vulnerable infants.
  • To analyze changes in infant and family characteristics and outcomes over time.

Main Methods:

  • Retrospective analysis of the homecare database.
  • Evaluation of infant and social family characteristics across three time periods.
  • Inclusion of a parent satisfaction survey.

Main Results:

  • Decreased infant weight at discharge and end of HC, with increased HC duration.
  • Lower readmission rates (3.4% to 1.3%) and increased exclusive breastfeeding (25.5% to 49.0%).
  • Improved family social context and high parent satisfaction (98.8% rated ≥7/10).

Conclusions:

  • Homecare for preterm and low-birth-weight infants has improved significantly.
  • Care enhancements have reduced hospital stay duration by 10-11 days.
  • Quality of care and family satisfaction remain high.
Abstract

Keywords:
Alta precozAsistencia domiciliariaAtención a domicilioCuidados domiciliariosDomiciliary nursing careEarly dischargeHome healthcareHomecareLow birth weight newbornPreterm infantRecién nacido de bajo pesoRecién nacido prematuro

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