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DOI: 10.1055/s-0042-1755589
Approaches to Interdisciplinary Care for Infants with Severe Bronchopulmonary Dysplasia: A Survey of the Bronchopulmonary Dysplasia Collaborative
Funding None.Abstract
Objective Bronchopulmonary dysplasia (BPD) remains the most common late morbidity for extremely premature infants. Care of infants with BPD requires a longitudinal approach from the neonatal intensive care unit to ambulatory care though interdisciplinary programs. Current approaches for the development of optimal programs vary among centers.
Study Design We conducted a survey of 18 academic centers that are members of the BPD Collaborative, a consortium of institutions with an established interdisciplinary BPD program. We aimed to characterize the approach, composition, and current practices of the interdisciplinary teams in inpatient and outpatient domains.
Results Variations exist among centers, including composition of the interdisciplinary team, whether the team is the primary or consult service, timing of the first team assessment of the patient, frequency and nature of rounds during the hospitalization, and the timing of ambulatory visits postdischarge.
Conclusion Further studies to assess long-term outcomes are needed to optimize interdisciplinary care of infants with severe BPD.
Key Points
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Care of infants with BPD requires a longitudinal approach from the NICU to ambulatory care.
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Benefits of interdisciplinary care for children have been observed in other chronic conditions.
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Current approaches for the development of optimal interdisciplinary BPD programs vary among centers.
Keywords
bronchopulmonary dysplasia - interdisciplinary care - neonatal intensive care unit - outpatient careNote
We would like to confirm that this material is original research, has not been previously published, and has not been submitted for publication elsewhere while under consideration.
Publication History
Received: 20 April 2022
Accepted: 12 July 2022
Article published online:
07 December 2022
© 2022. Thieme. All rights reserved.
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References
- 1 Stoll BJ, Hansen NI, Bell EF. et al; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Trends in care practices, morbidity, and mortality of extremely preterm neonates, 1993-2012. JAMA 2015; 314 (10) 1039-1051
- 2 Horbar JD, Edwards EM, Greenberg LT. et al. Variation in performance of neonatal intensive care units in the United States. JAMA Pediatr 2017; 171 (03) e164396-e164396
- 3 Blencowe H, Cousens S, Oestergaard MZ. et al. National, regional, and worldwide estimates of preterm birth rates in the year 2010 with time trends since 1990 for selected countries: a systematic analysis and implications. Lancet 2012; 379 (9832): 2162-2172
- 4 World Health Organization Fact Sheet. Preterm Birth. 2018. Accessed December 22, 2020 at: https://www.who.int/news-room/fact-sheets/detail/preterm-birth
- 5 Patel RM. Short and long-term outcomes for extremely preterm infants. Am J Perinatol 2016; 33 (03) 318-328
- 6 Roberts D, Brown J, Medley N, Dalziel SR. Antenatal corticosteroids for accelerating fetal lung maturation for women at risk of preterm birth. Cochrane Database Syst Rev 2017; 3: CD004454
- 7 Soll RF. Prophylactic natural surfactant extract for preventing morbidity and mortality in preterm infants. Cochrane Database Syst Rev 2000; (02) CD000511
- 8 Carlo WA, Finer NN, Walsh MC. et al; SUPPORT Study Group of the Eunice Kennedy Shriver NICHD Neonatal Research Network. Target ranges of oxygen saturation in extremely preterm infants. N Engl J Med 2010; 362 (21) 1959-1969
- 9 Vento M, Moro M, Escrig R. et al. Preterm resuscitation with low oxygen causes less oxidative stress, inflammation, and chronic lung disease. Pediatrics 2009; 124 (03) e439-e449
- 10 Rojas MA, Gonzalez A, Bancalari E, Claure N, Poole C, Silva-Neto G. Changing trends in the epidemiology and pathogenesis of neonatal chronic lung disease. J Pediatr 1995; 126 (04) 605-610
- 11 Charafeddine L, D'Angio CT, Phelps DL. Atypical chronic lung disease patterns in neonates. Pediatrics 1999; 103 (4, pt 1): 759-765
- 12 Jobe AH, Bancalari E. Bronchopulmonary dysplasia. Am J Respir Crit Care Med 2001; 163 (07) 1723-1729
- 13 Abman SH, Collaco JM, Shepherd EG. et al; Bronchopulmonary Dysplasia Collaborative. Interdisciplinary care of children with severe bronchopulmonary dysplasia. J Pediatr 2017; 181: 12-28.e1
- 14 Collaco JM, McGrath-Morrow SA. Respiratory phenotypes for preterm infants, children, and adults: bronchopulmonary dysplasia and more. Ann Am Thorac Soc 2018; 15 (05) 530-538
- 15 Wu KY, Jensen EA, White AM. et al. Characterization of disease phenotype in very preterm infants with severe bronchopulmonary dysplasia. Am J Respir Crit Care Med 2020; 201 (11) 1398-1406
- 16 Landry JS, Chan T, Lands L, Menzies D. Long-term impact of bronchopulmonary dysplasia on pulmonary function. Can Respir J 2011; 18 (05) 265-270
- 17 Baker CD, Alvira CM. Disrupted lung development and bronchopulmonary dysplasia: opportunities for lung repair and regeneration. Curr Opin Pediatr 2014; 26 (03) 306-314
- 18 Stuart BD, Sekar P, Coulson JD, Choi SE, McGrath-Morrow SA, Collaco JM. Health-care utilization and respiratory morbidities in preterm infants with pulmonary hypertension. J Perinatol 2013; 33 (07) 543-547
- 19 Mizuno K, Nishida Y, Taki M. et al. Infants with bronchopulmonary dysplasia suckle with weak pressures to maintain breathing during feeding. Pediatrics 2007; 120 (04) e1035-e1042
- 20 DeMauro SB, D'Agostino JA, Bann C. et al; Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network. Developmental outcomes of very preterm infants with tracheostomies. J Pediatr 2014; 164 (06) 1303-10.e2
- 21 Duncan S, Eid N. Tracheomalacia and bronchopulmonary dysplasia. Ann Otol Rhinol Laryngol 1991; 100 (10) 856-858
- 22 Baker CD, Abman SH, Mourani PM. Pulmonary hypertension in preterm infants with bronchopulmonary dysplasia. Pediatr Allergy Immunol Pulmonol 2014; 27 (01) 8-16
- 23 Guaman MC, Gien J, Baker CD, Zhang H, Austin ED, Collaco JM. Point prevalence, clinical characteristics, and treatment variation for infants with severe bronchopulmonary dysplasia. Am J Perinatol 2015; 32 (10) 960-967
- 24 Collaco JM, Agarwal A, Austin ED. et al. Characteristics of infants or children presenting to outpatient bronchopulmonary dysplasia clinics in the United States. Pediatr Pulmonol 2021; 56 (06) 1617-1625
- 25 McKinney RL, Napolitano N, Levin JJ. et al. Ventilatory strategies in infants with established severe bronchopulmonary dysplasia: a multicenter point prevalence study. J Pediatr 2022; 242: 248-252.e1
- 26 Thébaud B, Goss KN, Laughon M. et al. Bronchopulmonary dysplasia. Nat Rev Dis Primers 2019; 5 (01) 78
- 27 McHugh MD, Kutney-Lee A, Cimiotti JP, Sloane DM, Aiken LH. Nurses' widespread job dissatisfaction, burnout, and frustration with health benefits signal problems for patient care. Health Aff (Millwood) 2011; 30 (02) 202-210
- 28 Gien J, Kinsella J, Thrasher J, Grenolds A, Abman SH, Baker CD. Retrospective analysis of an interdisciplinary ventilator care program intervention on survival of infants with ventilator-dependent bronchopulmonary dysplasia. Am J Perinatol 2017; 34 (02) 155-163
- 29 Baker CD, Martin S, Thrasher J. et al. A standardized discharge process decreases length of stay for ventilator-dependent children. Pediatrics 2016; 137 (04) e20150637
- 30 Shepherd EG, Knupp AM, Welty SE, Susey KM, Gardner WP, Gest AL. An interdisciplinary bronchopulmonary dysplasia program is associated with improved neurodevelopmental outcomes and fewer rehospitalizations. J Perinatol 2012; 32 (01) 33-38
- 31 Smith VC, Zupancic JA, McCormick MC. et al. Rehospitalization in the first year of life among infants with bronchopulmonary dysplasia. J Pediatr 2004; 144 (06) 799-803
- 32 Keller RL, Feng R, DeMauro SB. et al; Prematurity and Respiratory Outcomes Program. Bronchopulmonary dysplasia and perinatal characteristics predict 1-year respiratory outcomes in newborns born at extremely low gestational age: a prospective cohort study. J Pediatr 2017; 187: 89-97.e3
- 33 Jensen EA, Dysart K, Gantz MG. et al. The diagnosis of bronchopulmonary dysplasia in very preterm infants. An evidence-based approach. Am J Respir Crit Care Med 2019; 200 (06) 751-759
- 34 Vollsæter M, Clemm HH, Satrell E. et al. Adult respiratory outcomes of extreme preterm birth. A regional cohort study. Ann Am Thorac Soc 2015; 12 (03) 313-322
- 35 Simpson SJ, Logie KM, O'Dea CA. et al. Altered lung structure and function in mid-childhood survivors of very preterm birth. Thorax 2017; 72 (08) 702-711
- 36 Bui DS, Lodge CJ, Burgess JA. et al. Childhood predictors of lung function trajectories and future COPD risk: a prospective cohort study from the first to the sixth decade of life. Lancet Respir Med 2018; 6 (07) 535-544
- 37 Condren M, Boger JA. Impact of a pediatric clinic-based multidisciplinary asthma education and management program. J Pediatr Pharmacol Ther 2005; 10 (04) 254-258
- 38 Chan DS, Callahan CW, Moreno C. Multidisciplinary education and management program for children with asthma. Am J Health Syst Pharm 2001; 58 (15) 1413-1417
- 39 Bocca G, Corpeleijn E, van den Heuvel ER, Stolk RP, Sauer PJ. Three-year follow-up of 3-year-old to 5-year-old children after participation in a multidisciplinary or a usual-care obesity treatment program. Clin Nutr 2014; 33 (06) 1095-1100
- 40 Nemet D, Ben-Haim I, Pantanowits M, Eliakim A. Effects of a combined intervention for treating severely obese prepubertal children. J Pediatr Endocrinol Metab 2013; 26 (1-2): 91-96
- 41 Svoren BM, Butler D, Levine B-S, Anderson BJ, Laffel LM. Reducing acute adverse outcomes in youths with type 1 diabetes: a randomized, controlled trial. Pediatrics 2003; 112 (04) 914-922
- 42 Lebecque P, Leonard A, De Boeck K. et al. Early referral to cystic fibrosis specialist centre impacts on respiratory outcome. J Cyst Fibros 2009; 8 (01) 26-30
- 43 Mahadeva R, Webb K, Westerbeek RC. et al. Clinical outcome in relation to care in centres specialising in cystic fibrosis: cross sectional study. BMJ 1998; 316 (7147): 1771-1775
- 44 Baraldi E, Filippone M. Chronic lung disease after premature birth. N Engl J Med 2007; 357 (19) 1946-1955
- 45 Um-Bergström P, Hallberg J, Pourbazargan M. et al. Pulmonary outcomes in adults with a history of bronchopulmonary dysplasia differ from patients with asthma. Respir Res 2019; 20 (01) 102
- 46 Svedenkrans J, Henckel E, Kowalski J, Norman M, Bohlin K. Long-term impact of preterm birth on exercise capacity in healthy young men: a national population-based cohort study. PLoS One 2013; 8 (12) e80869
- 47 Gough A, Linden M, Spence D, Patterson CC, Halliday HL, McGarvey LP. Impaired lung function and health status in adult survivors of bronchopulmonary dysplasia. Eur Respir J 2014; 43 (03) 808-816
- 48 Stickland A, Clayton E, Sankey R, Hill CM. A qualitative study of sleep quality in children and their resident parents when in hospital. Arch Dis Child 2016; 101 (06) 546-551
- 49 Karnik A, Bonafide CP. A framework for reducing alarm fatigue on pediatric inpatient units. Hosp Pediatr 2015; 5 (03) 160-163