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Master Thesis

État des lieux des prises en charge des nouveau-nés prématurés en hospitalisation à domicile à Grenoble

Abstract : Paediatric Hospital-Assisted Home Care (HAHC) was created in order to reduce the length of children’s stay at hospital. Our aim was to make a state about the premature infants within the HAHC of Grenoble. All infants were included retrospectively if they were born with a gestational age (GA) of less than37 weeks and went home for the first time supported by HAHC, between January 2013 and December 2018. 198 infants were included from who 23% were born with a GA of less than 28 weeks and 28% were born with a GA between 28 and 32 weeks. The average gestational age at birth was 31 weeks 2 days, the average weigth at birth was 1532g and 62 (31.3%) of them were born from a multiple pregnancy. They were enrolled in HAHC at a mean corrected gestational age of 41 weeks 4 days and with a mean body weight of 3140g. The mean length of stay in HAHC was 37 days. Principal support reasons were : following weight for 96 (48%) prematures, assistance of the parents for 46 (23.2%), oxygenotherapy for 23 (11.6%), enteral nutrition for 8 (4.2%) and cardio-respiratory monitoring for 6 (3%). Non-schedulled rehospitalisations concerned 37 (18.9%) of these infants, from whom 14 (30%) were born with a GA of less than 28 weeks, which was significatively more than in the other groups based on prematurity (p = 0.004). Pediatric HAHC in Grenoble allows the discharge of premature infants who are still vulnerable due to their complex medical history or a precarious socio-familial environment, and who require close monitoring.
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Master Thesis
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Mathilde Bonnet. État des lieux des prises en charge des nouveau-nés prématurés en hospitalisation à domicile à Grenoble. Médecine humaine et pathologie. 2020. ⟨dumas-02968171⟩

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