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Nordic survey showe...
Nordic survey showed wide variation in discharge practices for very preterm infants
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- Arwehed, Sofia (author)
- Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala University Hospital
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- Axelin, Anna (author)
- Uppsala universitet,SWEDESD - Centrum för forskning och utbildning om lärande för hållbar utveckling,Department of Nursing Science University of Turku, Turku, Finland,Uppsala University Hospital
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- Björklund, Lars J. (author)
- Lund University,Lunds universitet,Karolinska Institutet,Department of Clinical Sciences, Lund, Paediatrics Lund University and Skåne University Hospital Lund Sweden,Neonatologi,Forskargrupper vid Lunds universitet,Neonatology,Lund University Research Groups
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- Thernström Blomqvist, Ylva, 1974- (author)
- Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala University Hospital
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- Heiring, Christian (author)
- Department of Neonatology Copenhagen University Hospital Rigshospitalet Denmark
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- Jonsson, Baldvin (author)
- Department of Women's and Children's Health Karolinska Institute and Karolinska University Hospital Stockholm Sweden
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- Klingenberg, Claus (author)
- Paediatric 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
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- Metsäranta, Marjo (author)
- Department of Pediatrics University of Helsinki and Helsinki University Hospital (HUH) Helsinki Finland
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- Ågren, Johan, 1966- (author)
- Uppsala universitet,Perinatal, neonatal och barnkardiologisk forskning,Uppsala University Hospital
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- Lehtonen, Liisa (author)
- Department of Paediatrics and Adolescent Medicine Turku University, Hospital and University of Turku Turku Finland
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(creator_code:org_t)
- 2023
- 2023
- English.
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In: Acta Paediatrica. - : John Wiley & Sons. - 0803-5253 .- 1651-2227.
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Abstract
Subject headings
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- 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.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Pediatrik (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Pediatrics (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
Keyword
- early discharge
- length of stay
- neonatal home care
- preterm infant
- telemedicine
- early discharge
- length of stay
- neonatal home care
- preterm infant
- telemedicine
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Arwehed, Sofia
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Axelin, Anna
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Björklund, Lars ...
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Thernström Blomq ...
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Heiring, Christi ...
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Jonsson, Baldvin
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Klingenberg, Cla ...
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Metsäranta, Marj ...
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Ågren, Johan, 19 ...
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Lehtonen, Liisa
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Pediatrics
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Health Sciences
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and Nursing
- Articles in the publication
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Acta Paediatrica
- By the university
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Uppsala University
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Karolinska Institutet
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Lund University