Improving infant outcomes through implementation of a family integrated care bundle including a parent supporting mobile application. Issue 2 (21st June 2019)

• Record Type: Journal Article
• Authors: Banerjee, Jayanta; Aloysius, Annie; Mitchell, Karen; Silva, Ines; Rallis, Dimitrios; Godambe, Sunit V; Deierl, Aniko
• Is Part Of: Archives of disease in childhood. Volume 105:Issue 2(2020)
• Page Start: 172
• Page End: 177
• Publication Date: 2019-06-21
• Subjects: neonatology -- multidisciplinary team-care -- information technology -- health services research -- health economics; Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/archdischild-2018-316435
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Objective: The aim of the Integrated Family Delivered Care (IFDC) programme was to improve infant health outcomes and parent experience through education and competency-based training. Design: In collaboration with veteran parents' focus groups, we created an experienced co-designed care bundle including IFDC mobile application, which together with staff training programme comprised the IFDC programme. Infant outcomes were compared with retrospective controls in a prepost intervention analysis. Main outcome measures: The primary outcome measure was the length of stay (LOS). Results: Between April 2017 and May 2018, 89 families were recruited; 37 infants completed their entire care episode in our units with a minimum LOS >14 days. From a gestational age (GA) and birth weight-matched retrospective cohort, 57 control infants were selected. Data were also analysed for subgroup under 30 weeks GA (n=20). Infants in the IFDC group were discharged earlier: median corrected GA (36 +0 (IQR 35 +0 –38 +0 ) vs 37 +1 (IQR 36 +3 –38 +4 ) weeks; p=0.003), with shorter median LOS (41 (32–63) vs 55 (41–73) days; p=0.022). This was also evident in the subgroup <30 weeks GA (61 (39–82) vs 76 (68–84) days; p=0.035). Special care days were significantly lower in the IFDC group (30 (21–41) vs 40 (31–46); p=0.006). The subgroup of infants (<30 weeks) reached full suck feeding earlier (median: 47 (37–76) vs 72 (66–82) days; p=0.006). Conclusion: This is the first reported study from a UK tertiary neonatal unit demonstrating significant benefits of family integrated care programme. The IFDC programme has significantly reduced LOS, resulted in the earlier achievement of full enteral and suck feeds.