Contribution of a Nurse Consultation in the Follow-up of At-risk Newborn at Maternity Discharged (NURCO-NEO)

Feasibility and Contribution of a Nurse Consultation in the Follow-up of At-risk Newborn at Maternity Discharged: 3-year Experience in a Tertiary Center.

The postnatal period is a critical phase involving important physiological, psychological and social changes. Pediatric nurses could be a crucial actor in the follow-up of at-risk newborn, in collaboration with other health professionals and contribute to a reduction in pediatric emergency department (PED) visits and/or hospitalization in first weeks of life. To describe population of at-risk newborns who attended a nurse consultation after discharge from a type 3 maternity hospital and to evaluate the impact of a post-hospitalization nurse consultation for at-risk newborns on PED visits and hospitalizations.

Study Overview

• Status: Recruiting
• Conditions: At-risk Newborn
• Intervention / Treatment: Procedure: Nurse consultation

Detailed Description

The postnatal period is a critical phase involving important physiological, psychological and social changes. In 2013, WHO recommends at least three postnatal contacts on day 3, between days 7 and 14, and six weeks after birth. Despite these recommendations, pediatric emergency department (PED) visits for newborns are constantly increasing. Some studies have shown that most of these visits were related to nonserious diseases, mainly due to a lack of knowledge and information. At the same time, some high-risk newborns have been identified as likely to be admitted to PED and subsequently hospitalized. All these findings highlight the great need for education and parental support by health staff from the time of maternity discharged, particularly when certain high-risk conditions are identified.

In France, guidelines on maternity discharge after childbirth include pediatric nurses as professionals involved in postnatal follow-up. Pediatric nurses could be a crucial actor in the follow-up of at-risk newborn, in collaboration with other health professionals and contribute to a reduction in PED visits and/or hospitalization in first weeks of life.

• Study Type: Observational
• Enrollment (Estimated): 1892

Contacts and Locations

• Study Contact: Name: Pauline LEROUX, MD; Phone Number: 07 72 33 05 63; Email: pauline.leroux03@gmail.com
• Study Contact Backup: Name: Caroline TOURTE GROSPIRON; Phone Number: 01 61 69 31 50; Email: caroline.tourte@chsf.fr

Study Locations

• France
  • Corbeil-Essonnes, France, 91106
    • Recruiting
    • Centre Hospitalier Sud Francilien
    • Contact: Pauline LEROUX, MD; Phone Number: 07 72 33 05 63; Email: pauline.leroux03@gmail.com
    • Principal Investigator: Pauline LEROUX, MD

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 1 day and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: N/A

• Sampling Method: Probability Sample

Study Population

Neonates born and/or hospitalized at a tertiary center, Centre Hospitalier Sud Francilien, Corbeil Essonnes, France defined as follow.

Description

Inclusion Criteria:

• All at-risk newborns addressed to nurse consultation after discharge from maternity hospital.
• All at-risk newborns discharged home after hospitalization at birth in the neonatal medicine department.

Exclusion Criteria:

• Newborns discharged with home hospitalization
• Consultation for hearing screening, blood testing or injection (vaccines or palivizumab).
• Newborns referred by pediatrics department, PED or by exterior professionals.
• Non-at-risk newborns hospitalized for other reasons (biological anoxia, early neonatal bacterial infection, transient tachypnea, monitoring)

Study Plan

How is the study designed?

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
PED visits at 2 weeks	Number and causes of PED visits	2 weeks after discharge of maternity hospital

Secondary Outcome Measures

Outcome Measure	Measure Description	Time Frame
PED visits at 3 months	Number and causes of PED visits	3 months after discharge of maternity hospital
Hospitalization	Number and causes of hospitalizations	3 months after discharge of maternity hospital

Collaborators and Investigators

• Sponsor: Centre Hospitalier Sud Francilien

Study record dates

Study Major Dates

• Study Start (Actual): May 11, 2022
• Primary Completion (Estimated): December 31, 2023
• Study Completion (Estimated): December 31, 2023

Study Registration Dates

• First Submitted: February 17, 2022
• First Submitted That Met QC Criteria: February 17, 2022
• First Posted (Actual): February 28, 2022

Study Record Updates

• Last Update Posted (Actual): June 12, 2023
• Last Update Submitted That Met QC Criteria: June 9, 2023
• Last Verified: June 1, 2023

More Information

Terms related to this study

• Keywords: nurse consultation; at-risk newborn; PED visits; PED hospitalizations
• Other Study ID Numbers: 2022/0001

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No