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Titolo:
A randomized trial of nurse specialist home care for women with high-risk pregnancies: Outcomes and costs
Autore:
Brooten, D; Youngblut, JM; Brown, L; Finkler, SA; Neff, DF; Madigan, E;
Indirizzi:
Res A Team, Gates Mill, OH 44040 USA Res A Team Gates Mill OH USA 44040Res A Team, Gates Mill, OH 44040 USA Case Western Reserve Univ, Sch Nursing, Cleveland, OH 44106 USA Case Western Reserve Univ Cleveland OH USA 44106 Cleveland, OH 44106 USA Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA Univ Penn PhiladelphiaPA USA 19104 h Nursing, Philadelphia, PA 19104 USA NYU, Grad Sch Publ Adm, New York, NY USA NYU New York NY USANYU, Grad Sch Publ Adm, New York, NY USA Univ Akron, Coll Nursing, Akron, OH 44325 USA Univ Akron Akron OH USA 44325 iv Akron, Coll Nursing, Akron, OH 44325 USA
Titolo Testata:
AMERICAN JOURNAL OF MANAGED CARE
fascicolo: 8, volume: 7, anno: 2001,
pagine: 793 - 803
SICI:
1088-0224(200108)7:8<793:ARTONS>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
EARLY HOSPITAL DISCHARGE; BIRTH-WEIGHT INFANTS; PRETERM BIRTH; FOLLOW-UP; MORTALITY; MEDICAID;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Brooten, D Res A Team, LLC,37599 Cedar Rd, Gates Mill, OH 44040 USA Res A Team LLC,37599 Cedar Rd Gates Mill OH USA 44040 44040 USA
Citazione:
D. Brooten et al., "A randomized trial of nurse specialist home care for women with high-risk pregnancies: Outcomes and costs", AM J M CARE, 7(8), 2001, pp. 793-803

Abstract

Objective: To examine prenatal, maternal, and infant outcomes and costs through 1 year after delivery using a model of prenatal care for women at high risk of delivering low-birthweight infants in which half of the prenatal care was provided in women's homes by nurse specialists with master's degrees. Study Design: Randomized clinical trial. Patients and Methods: A sample of 173 women (and 194 infants) with high-risk pregnancies (gestational or pregestational diabetes mellitus, chronic hypertension, preterm labor, or high risk of preterm labor) were randomly assigned to the intervention group (85 women and 94 infants) or the control group (88 women and 100 infants). Control women received usual prenatal care. Intervention women received half of their prenatal care in their homes, with teaching, counseling, telephone outreach, daily telephone availability, and a postpartum home visit by nurse specialists with physician backup. Results: For the full sample, mean maternal age was 27 years; 85.5% of women were single mothers, 36.4% had less than a high school education, 93.6% were African American, and 93.6% had public health insurance, with no differences between groups on these variables. The intervention group had lower fetal/infant mortality vs the control group (2 vs 9), 11 fewer preterm infants, more twin pregnancies carried to term (77.7% vs 33.3%), fewer prenatalhospitalizations (41 vs 49), fewer infant rehospitalizations (18 vs 24), and a savings of more than 750 total hospital days and $2,880,000. Conclusion: This model of care provides a reasoned solution to improving pregnancy and infant outcomes while reducing healthcare costs.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 20/09/20 alle ore 07:51:44