title: [Changes in homecare for preterm and low-birth-weight infants from 2002 to 2014].
abstract: BACKGROUND
  Homecare (HC) is a service offering home medical and nursing care to the patient at home in equal quantity and quality as in the hospital. The aim of the article is to describe the changes in the HC of preterm and full-term low-birth-weight infants in our department from 2002-2014.
  
  
  METHODS
  The HC database is revised. The characteristics of the newborns and the social characteristics of the family in three consecutive time periods are analysed. A satisfaction survey of parents is also presented.
  
  
  RESULTS
  The main changes in HC include a decrease in the weight at discharge (from 1880g in the 2002-2006 period to 1850g in the 2011-2014 period; P=.006) and at the end of HC (from 2187g to 2163g; P=.001), an increase in the duration of HC (from 10 to 11 days; P=.007) and a lower incidence of new hospitalization (from 3.4% to 1.3%; P=.019) The social characteristics of the family show a higher maternal age with more previous alive children, a family context better suited with a more appropriate housing, and an increase in exclusive breastfeeding at hospital discharge (from 25.5% to 49.0%; P<.001). The overall assessment of the program is ≥7/10 in 98.8% of responses.
  
  
  CONCLUSIONS
  The results of the HC of preterm and low-birth-weight infants have improved over time, saving approximately 10-11 days of hospitalisation, and without compromising the quality of care or reducing family satisfaction.
authors.affiliation: Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España. Electronic address: jfiguer@clinic.ub.es.
authors.forename: Josep
authors.initials: J
authors.lastname: Figueras Aloy
authors.affiliation: Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España.
authors.forename: M Teresa
authors.initials: MT
authors.lastname: Esqué Ruiz
authors.affiliation: Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España.
authors.forename: Lourdes
authors.initials: L
authors.lastname: Arroyo Gili
authors.affiliation: Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España.
authors.forename: Julia
authors.initials: J
authors.lastname: Bella Rodriguez
authors.affiliation: Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España.
authors.forename: Roser
authors.initials: R
authors.lastname: Álvarez Miró
authors.affiliation: Servicio de Neonatología, Institut Clínic de Ginecologia, Obstetrícia y Neonatologia (ICGON), Hospital Clínic sede Maternitat, BCNatal, Facultat de Medicina, Barcelona, España.
authors.forename: Xavier
authors.initials: X
authors.lastname: Carbonell Estrany
mesh_terms: D005260:Female; D006699:Home Care Services / Q000639:trends*; D006801:Humans; D007230:Infant, Low Birth Weight; D007231:Infant, Newborn; D007234:Infant, Premature; D008297:Male; D013997:Time Factors
keywords: Alta precoz; Asistencia domiciliaria; Atención a domicilio; Cuidados domiciliarios; Domiciliary nursing care; Early discharge; Home healthcare; Homecare; Low birth weight newborn; Preterm infant; Recién nacido de bajo peso; Recién nacido prematuro