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Published on: December 26, 2013
Complex Surgical Infants Benefit From Postdischarge Telemedicine Visits
April Willard1, Elizabeth Brown, Marjorie Masten
1Ronald and Harriet Lassin Newborn/Infant Intensive Care Unit, Department of General, Thoracic, and Fetal Surgery (Mss Willard, Brown, and Masten), and Divisions of Neonatology (Drs Pouppirt, Lioy, and Chuo) and Otolaryngology (Mr Moran), The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania; Division of Neonatology, CHOP Newborn Care at Virtua, Philadelphia, Pennsylvania (Dr Brant); and The University of Pennsylvania Perelman School of Medicine, Philadelphia (Drs Pouppirt, Lioy, and Chuo).
Telemedicine visits after neonatal intensive care unit (NICU) discharge help identify infant care issues and support caregivers. This pilot study shows high satisfaction and reduced travel for families of complex surgical infants.
Area of Science:
- Neonatal care
- Telehealth applications
- Surgical infant outcomes
Background:
- Transitioning complex surgical infants from NICU to home presents challenges for caregivers.
- A pilot study implemented telemedicine to support this transition.
Purpose of the Study:
- Assess and resolve post-discharge infant care concerns.
- Enhance caregiver knowledge and care practices.
Main Methods:
- Prospective, observational cohort study involving telemedicine visits.
- Neonatal providers conducted virtual visits within one week of discharge.
- Video utilized to assess infant health, home environment, and care practices.
Main Results:
- Seventy-six percent of visits involved post-surgery patients.
- Common issues identified: feeding (33%), surgical site (35%), respiratory (19%), and medication administration (13%).
- 50% of caregivers felt telemedicine prevented additional calls/visits; high satisfaction reported.
Conclusions:
- Post-discharge telemedicine effectively identifies clinical issues and supports caregivers of NICU graduates.
- Telemedicine reduces travel time for families.
- Advanced practice nurses play a key role in continuity of care.
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