None listed
Conditions
Interventions
Intervention1: Tele-consultation arm: Caregivers of enrolled infants being discharged from hospital shall participate in a teleconsultation visit with neonatal providers within one week of discharge.
comfort with the physician during teleconsultation, whether not their questions were answered and their overall satisfaction with the visit
Control Intervention1: Standard arm: At the time of dischar
Sponsors
JIPMER Intramural fund
Eligibility
Inclusion criteria
Inclusion criteria: Neonates with gestational age at birth greater than or equal to 34 weeks Delivered in JIPMER hospital Discharged home within the first week of life
Exclusion criteria
Exclusion criteria: 1. Need for NICU stay for 7 days or more 2. Major congenital anomalies 3. Postnatal morbidities (respiratory distress syndrome, neonatal sepsis, need for ventilation more than 24 hours, moderate or severe hypoxic iscahemic encephalopathy etc) requiring enrollment and follow up in high risk follow up clinic of JIPMER as per unit policy 4. Parents who do not have a telephone or mobile services to enable tele consultation 5. Unwilling to provide consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Need for emergency room visit or re-hospitalizationTimepoint: At 28 days of life for term neonates and at 4 weeks corrected age for late preterm neonates | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of post discharge neonatal mortality (death after hospital discharge and within 28 days of life)Timepoint: At 28 days of life in term neonates and at 4 weeks of corrected age in late preterm neonates;Need for emergency room visit or re-hospitalizationTimepoint: At 28 days of life in term neonates and at 4 weeks corrected age in late preterm neonates;To evaluate reasons and risk factors for mortality and emergency room visit/re-hospitalization among the enrolled neonatesTimepoint: At 28 days of life in term neonates and at 4 weeks of corrected age in late preterm neonates;To evaluate the number of occasions that a teleconsultation helps in averting an additional visit to a health facility or enables an earlier medical visit â?? In the telehealth groupTimepoint: At 28 days of life or at 4 weeks corrected age;To study the parental satisfaction with tele-consultation evaluated on three aspects using Likert scale; comfort with the physician during teleconsultation, whether not their questions were answered and their overall satisfaction with the visit- in the telehealth groupTimepoint: End of follow up period (28 days of life or 4 weeks corrected age) | — |
Countries
India
Contacts
Public ContactSindhu Sivanandan
Department of Neonatology, Jawaharlal Institute of Postgraduate Medical Education and Research
Outcome results
None listed