Hosp Case Manag. 1998 Sep;6(9):172-4.
An expert panel convened by the American Academy of Pediatrics (AAP) in Elk Grove Village, IL, says traditional guidelines for the discharge of high-risk newborns are inadequate because they can't be tailored easily to many individual cases. In its own just-released guidelines, the AAP distinguishes among four categories of high-risk newborns, including preterm infants, infants who require technological support, those at risk because of family issues, and those whose irreversible condition may result in early death. According to the guidelines, any effective discharge plan for high-risk infants should include the following six steps: Parental education, implementation of primary care, evaluation of unresolved medical problems, development of the home care plan, identification and mobilization of surveillance and support services, and determination and designation of follow-up care.
美国儿科学会（AAP）在伊利诺伊州埃尔克格罗夫村召集的一个专家小组表示，针对高危新生儿出院的传统指导方针并不完善，因为它们无法轻易适用于许多个别情况。在其刚刚发布的指导方针中，AAP区分了四类高危新生儿，包括早产儿、需要技术支持的婴儿、因家庭问题而有风险的婴儿，以及那些不可逆转的状况可能导致早夭的婴儿。根据这些指导方针，任何针对高危婴儿的有效出院计划都应包括以下六个步骤：家长教育、初级保健的实施、未解决医疗问题的评估、家庭护理计划的制定、监测和支持服务的识别与调动，以及后续护理的确定与指定。
