Pediatrics. 1998 Aug;102(2 Pt 1):411-7.
This policy statement is the first formal statement of the American Academy of Pediatrics on the issue of hospital discharge of the high-risk neonate. It has been developed, to the extent possible, on the basis of published, scientifically derived information. Four categories of high risk are identified: 1) the preterm infant, 2) the infant who requires technological support, 3) the infant primarily at risk because of family issues, and 4) the infant whose irreversible condition will result in an early death. The unique home care issues for each are reviewed within a common framework. Recommendations are given for four areas of readiness for hospital discharge: infant, home care planning, family and home environment, and the community and health care system. The need for individualized planning and physician judgment is emphasized.
本政策声明是美国儿科学会关于高危新生儿出院问题的首份正式声明。它已尽可能基于已发表的、科学得出的信息制定而成。确定了四类高危情况：1）早产儿，2）需要技术支持的婴儿，3）主要因家庭问题而处于危险中的婴儿，4）患有不可逆转疾病将导致早夭的婴儿。在一个共同框架内对每类情况独特的家庭护理问题进行了审视。针对出院准备的四个方面给出了建议：婴儿、家庭护理规划、家庭和家庭环境，以及社区和医疗保健系统。强调了个性化规划和医生判断的必要性。
