Age and weight at final discharge from an early discharge programme for stable but tube-fed preterm infants

作者：Ahnfeldt A M^*; Stanchev H; Jorgensen H L; Greisen G

来源：Acta Paediatrica, 2015, 104(4): 377-383.

DOI：10.1111/apa.12917

• Early discharge
• Home visit
• Neonatal nursing
• Preterm infant
• Tube feeding

AimPreterm birth is often associated with prolonged hospitalisation, complicating the parent-child relationship and breastfeeding rates. As a result, an early discharge programme was implemented in the department of neonatology at Rigshospitalet. The infants were stable, but required tube feeding, and during the programme, they received home visits by neonatal nurses. We evaluated the programme, focusing on the infants' well-being, using weight gain, breastfeeding rates and total duration of hospitalisation as outcomes.
MethodsOver an 11-year period, 500 infants participated in the programme and they constituted the early discharge group. They were compared with 400 infants discharged from the Naestved and Nykoebing Falster hospitals.
ResultsThe early discharge group's length of hospitalisation was only threedays shorter than the comparison group, but they were eightdays younger when they joined the programme (p<0.0001). Total admission was 21days longer (p<0.0001). There was no difference in weight-for-age at discharge (p=0.15), but infants in the early discharge group were more frequently fully or partly breastfed (88% versus 80%, p<0.005).
ConclusionWhile recognising the limited comparability of the two groups, weight-for-age at discharge was similar, but the programme appeared to allow better breastfeeding success at the expense of a later final discharge.

• 出版日期2015-4