Using telemedicine in the care of newborn infants after discharge from a neonatal intensive care unit reduced the need of hospital visits

Source: Robinson, C., et al. 2016 - Pubmed ID: 26999007

Setting: Sweden, Hospital

Study design:

RCT

 

Follow up: NA

Patient group:

Sample size:
Total: 89
IG: 47
CG: 42

 

Inclusion criteria:

  • Families with newborn infants who were going to be discharged from the NICU to home care
Type of technology:

App

  • Monitoring health and nutrition
  • Messaging

 

Video call

Intervention:

Intervention: Parents encouraged to answer ten questions about the child’s health and nutrition on the web app every day. Parents could view data in graphic work and also message the nurses through the web app. Parents received scheduled video calls from nurses.

 

Duration: NA
Add on: +

 

Control group: Follow up hospital appointments

Clinical effect/ Patient safety:

Clinical effect:

  • Emergency visits to hospital↓

 

Patient safety: NA

Patient experiences/ Staff experiences:

Patient experiences:

  • 92% found it easy to communicate with skype
  • All the parents thought it was good to see their infant’s data on the web form

 

Staff experiences:

  • The nurses thought that the web application was a useful tool in neonatal home health care
Costs and organization:

Investment:

Staff resources

  • Developing app
  • Training staff

Material

  • Web cam
  • Speakers

 

Running:

Staff resources

  • Data monitoring
  • Training patients
  • Videocalls


Organization: 
NA


Health care utilization:

  • Emergency visits to hospital↓
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Information

“↑”: Statistically significant increase

“↓”: Statistically significant decrease

“→”: Statistically insignificant (no difference)