Noorduin, Michelle Fleur (2024) Geïntegreerde werkwijze bij zuigelingen met excessief huilen en het effect op de zorgconsumptie in het ziekenhuis. thesis, Medicine.
Full text available on request.Abstract
Introduction Excessive crying in infants, also known as infant colic, is a common issue with a prevalence between 5-25%. Despite its benign and self-limiting nature, it often leads to hospital admissions, emergency room visits and unwarranted interventions such as feeding changes and medication. A new integrated care approach aims to prevent this by improving care coordination and providing parental support. Method This observational prospective longitudinal multicenter study compares 18 months standard care with 18 months integrated care. Infants under 5 months, diagnosed with infant colic (Rome IV criteria), were evaluated for hospital admissions and duration, emergency department visits, medical and paramedical consultations, feeding changes and use of antireflux medication. Results A total of 178 patients received standard care, while 197 received integrated care. During integrated care a significant reduction of 42.9% in hospital admissions was observed (p = 0.005). Additionally, there was a significant decrease in emergency room visits of 87.7% (p < 0 .001). This study also demonstrated a decrease in consultations with physiotherapists (p = 0.023) and medical psychologists (p < 0.001) in the hospital. Moreover, during the integrated care approach pediatricians more frequently changed the infants' diets to less hypoallergenic formulas and discontinued anti-reflux medications (p < 0.001) (p = 0.038). Conclusion This study suggests that integrated care is effective in reducing hospital admissions, emergency room visits and medical interventions for infants with colic. Further extensive research is necessary to confirm these findings and to evaluate the effect on overall health care utilization and parental well-being.
| Item Type: | Thesis (UNSPECIFIED) |
|---|---|
| Supervisor name: | Dr. de Kruijff, I. and Drs. de Graaf, K. and Drs. Kuindersma, T. |
| Faculty: | Medical Sciences |
| Date Deposited: | 12 Nov 2024 12:18 |
| Last Modified: | 12 Nov 2024 12:18 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/3778 |
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