Schmidt R E, Levine D H
Department of Pediatrics, University of Cincinnati Children's Hospital Medical Center, OH 45229.
J Perinatol. 1990 Dec;10(4):396-8.
All 123 infants with birthweights less than or equal to 2000 g born at a private institution between February 1, 1987, and January 31, 1988, were eligible for early discharge if they met the following criteria: weight about 1800 g, medically stable, feeding well by nipple, satisfactory weight gain, thermostability, and parents and home prepared. Forty-one of 48 (85.4%) infants who satisfied these criteria were discharged at birthweights less than 2100 g. None of the 35 infants for whom follow-up was possible were rehospitalized, had a serious illness, or died as a result of the policy. The policy was universally accepted by the staff. Such a policy has the potential to unite babies and families sooner, promote the mental health of the families, save medical dollars, and make the medical resources of newborn intensive care units available for critically ill infants.
1987年2月1日至1988年1月31日期间在一家私立机构出生的所有123名出生体重小于或等于2000克的婴儿，若符合以下标准则有资格提前出院：体重约1800克、医学状况稳定、经乳头喂养良好、体重增加令人满意、体温稳定，且父母及家庭准备充分。符合这些标准的48名婴儿中有41名（85.4%）在出生体重低于2100克时出院。在35名可进行随访的婴儿中，没有因该政策而再次住院、患重病或死亡的情况。该政策得到了全体工作人员的一致认可。这样的政策有可能使婴儿与家庭更早团聚，促进家庭心理健康，节省医疗费用，并使新生儿重症监护病房的医疗资源可用于重症婴儿。
