A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants

D. Brooten, S. Kumar, L. P. Brown, P. Butts, S. A. Finkler, Susan Bakewell Sachs, A. Gibbons, M. Delivoria-Papadopoulos

Research output: Contribution to journalArticle

311 Citations (Scopus)

Abstract

To determine the safety, efficacy, and cost savings of early hospital discharge of very-low-birth-weight infants (≤1500 g), we randomly assigned infants to one of two groups. Infants in the control group (n=40) were discharged according to routine nusery criteria, which included a weight of about 2200 g. Those in the early-discharge group (n=39) were discharged before they reached this weight if they met a standard set of conditions. For families of infants in the early-discharge group, instruction, counseling, home visits, and daily on-call availability of a hospital-based nurse specialist for 18 months were provided. Infants in the early-discharge group were discharged a mean of 11 days earlier, weighed 200 g less, and were two weeks younger at discharge than control infants. The mean hospital charge for the early-discharge group was 27 percent less than that for the control group ($47,520 vs. $64,940; P

Original languageEnglish (US)
Pages (from-to)934-939
Number of pages6
JournalNew England Journal of Medicine
Volume315
Issue number15
StatePublished - 1986
Externally publishedYes

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Very Low Birth Weight Infant
Randomized Controlled Trials
Hospital Charges
Weights and Measures
Control Groups
House Calls
Cost Savings
Counseling
Safety

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Brooten, D., Kumar, S., Brown, L. P., Butts, P., Finkler, S. A., Bakewell Sachs, S., ... Delivoria-Papadopoulos, M. (1986). A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants. New England Journal of Medicine, 315(15), 934-939.

A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants. / Brooten, D.; Kumar, S.; Brown, L. P.; Butts, P.; Finkler, S. A.; Bakewell Sachs, Susan; Gibbons, A.; Delivoria-Papadopoulos, M.

In: New England Journal of Medicine, Vol. 315, No. 15, 1986, p. 934-939.

Research output: Contribution to journalArticle

Brooten, D, Kumar, S, Brown, LP, Butts, P, Finkler, SA, Bakewell Sachs, S, Gibbons, A & Delivoria-Papadopoulos, M 1986, 'A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants', New England Journal of Medicine, vol. 315, no. 15, pp. 934-939.
Brooten, D. ; Kumar, S. ; Brown, L. P. ; Butts, P. ; Finkler, S. A. ; Bakewell Sachs, Susan ; Gibbons, A. ; Delivoria-Papadopoulos, M. / A randomized clinical trial of early hospital discharge and home follow-up of very-low-birth-weight infants. In: New England Journal of Medicine. 1986 ; Vol. 315, No. 15. pp. 934-939.
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