PRECUIDO PROJECT: PRETERM HOME CARE RESEARCH PROJECT.
Abstract
Introduction. Prematurity has become a major health problem. As a consequence of the anatomical and/or functional immaturity of preterm newborns, their hospitalization can be prolonged for weeks or months after birth. In order to reduce admission periods, early discharge and home care programs have been established to place preterm or low birth weight newborns as early as possible at home, providing the most suitable setting to ensure its normal progress and psycho-affective benefits.
Objective. To determine if early discharge with home support in clinically stable preterm newborns influences weight gain rate, maternal-filial adaptation and breastfeeding adherence and maintenance, as well as reducing costs and days of hospital admission and readmission. Design, setting and participants A low-intervention randomized clinical trial will be developed that including preterm or low birth weight infants admitted to neonatology unit of University Hospital of León for the research time.
Intervention. Early discharge and neonatal home hospitalization with monitoring patient clinical evolution and parental care through regular home visits, telecare and presential transfer to primary care team at medical discharge.
Main outcome measure. The primary outcome will be similar weight gain, keeping stable physiological parameters, during home hospitalization compared to clinical hospitalization.
