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  • Arwehed, SofiaUppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala University Hospital (author)

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

  • Article/chapterEnglish2023

Publisher, publication year, extent ...

  • 2023
  • John Wiley & Sons,2023
  • electronicrdacarrier

Numbers

  • LIBRIS-ID:oai:DiVA.org:uu-512706
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-512706URI
  • https://doi.org/10.1111/apa.16934DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:153409950URI
  • https://lup.lub.lu.se/record/17029e45-64b8-495d-93e3-a78d50cb9852URI

Supplementary language notes

  • Language:English
  • Summary in:English

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  • Subject category:ref swepub-contenttype
  • Subject category:art swepub-publicationtype

Notes

  • AimWe aimed to describe clinical practices and criteria for discharge of very preterm infants in Nordic neonatal units.MethodsMedical 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.ResultsWe 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.ConclusionDischarge 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.

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  • Axelin, AnnaUppsala universitet,SWEDESD - Centrum för forskning och utbildning om lärande för hållbar utveckling,Department of Nursing Science University of Turku, Turku, Finland,Uppsala University Hospital(Swepub:uu)annax664 (author)
  • Björklund, Lars J.Lund University,Lunds universitet,Karolinska Institutet,Department of Clinical Sciences, Lund, Paediatrics Lund University and Skåne University Hospital Lund Sweden,Neonatalogi,Forskargrupper vid Lunds universitet,Neonatology,Lund University Research Groups(Swepub:lu)pedi-lbj (author)
  • Thernström Blomqvist, Ylva,1974-Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala University Hospital(Swepub:uu)ylvbl441 (author)
  • Heiring, ChristianDepartment of Neonatology Copenhagen University Hospital Rigshospitalet Denmark (author)
  • Jonsson, BaldvinDepartment of Women's and Children's Health Karolinska Institute and Karolinska University Hospital Stockholm Sweden (author)
  • Klingenberg, ClausPaediatric Research Group, Faculty of Health Sciences UiT‐The Arctic University of Norway Tromsø Norway;Department of Pediatrics and Adolescence Medicine University Hospital of North Norway Tromsø Norway (author)
  • Metsäranta, MarjoDepartment of Pediatrics University of Helsinki and Helsinki University Hospital (HUH) Helsinki Finland (author)
  • Ågren, Johan,1966-Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala University Hospital(Swepub:uu)johaagre (author)
  • Lehtonen, LiisaDepartment of Paediatrics and Adolescent Medicine Turku University, Hospital and University of Turku Turku Finland (author)
  • Uppsala universitetPerinatal, neonatal och barnkardiologisk forskning (creator_code:org_t)

Related titles

  • In:Acta Paediatrica: John Wiley & Sons0803-52531651-2227

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