Nordic survey showed wide variation in discharge practices for very preterm infants

Sofia Arwehed*, Anna Axelin, Lars J Björklund, Ylva Thernström Blomqvist, Christian Heiring, Baldvin Jonsson, Claus Klingenberg, Marjo Metsäranta, Johan Ågren, Liisa Lehtonen

*Corresponding author af dette arbejde
1 Citationer (Scopus)

Abstract

AIM: We aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units.

METHODS: Medical directors of all 89 level-2 and level-3 units in Denmark, Finland, Iceland, Norway and Sweden were invited by e-mail to complete a web-based multiple-choice survey with the option to make additional free-text comments.

RESULTS: We received responses from 83/89 units (93%). In all responding units, discharge readiness was based mainly on clinical assessment with varying criteria. In addition, 36% used formal tests of cardiorespiratory stability and 59% used criteria related to infant weight or growth. For discharge with feeding tube, parental ability to speak the national language or English was mandatory in 45% of units, with large variation among countries. Post-discharge home visits and video-consultations were provided by 59% and 51%, respectively. In 54% of units, parental preparation for discharge were not initiated until the last two weeks of hospital stay.

CONCLUSION: Discharge readiness was based mainly on clinical assessment, with criteria varying among units despite similar population characteristics and care structures. This variation indicates a lack of evidence base and may unnecessarily delay discharge; further studies of this matter are needed. Earlier parental preparation and use of interpreters might facilitate earlier discharge.

OriginalsprogEngelsk
TidsskriftActa paediatrica
Vol/bind113
Udgave nummer1
Sider (fra-til)48-55
Antal sider8
ISSN1651-2227
DOI
StatusUdgivet - jan. 2024

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