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Severe bronchopulmonary dysplasia: outcomes before and after the implementation of an inpatient multidisciplinary

Robin L McKinney1, Joseph J Schmidhoefer2, Alyssa L Balasco2

  • 1Department of Pediatrics, The Warren Alpert School of Medicine at Brown University, Providence, RI, USA. Robin_mckinney@brown.edu.

Journal of Perinatology : Official Journal of the California Perinatal Association
|October 24, 2020
PubMed

Insights

A multidisciplinary team improved care for infants with severe bronchopulmonary dysplasia (sBPD), leading to shorter NICU stays and better post-discharge outcomes. This approach enhanced inpatient management for sBPD patients.

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology
  • Healthcare Management

Background:

  • Severe bronchopulmonary dysplasia (sBPD) is a significant cause of long-term morbidity in infants.
  • Optimizing care for sBPD is crucial for improving infant outcomes.

Purpose of the Study:

  • To evaluate the impact of a multidisciplinary team established in 2011 on the care and outcomes of infants with sBPD.
  • To compare outcomes of sBPD patients before and after the implementation of the multidisciplinary team.

Main Methods:

  • Retrospective chart review of infants with sBPD and moderate BPD.
  • Comparison of three groups: sBPD patients born before 2011, sBPD patients born after 2011, and moderate BPD patients born after 2011.

Main Results:

  • Infants with sBPD born after 2011 experienced a shorter NICU length of stay (140 vs. 170 days).
  • Post-2011 sBPD infants had higher discharge weight (z-score -0.8 vs. -1.35) and reduced failure to thrive (32% vs. 51%).
  • Improved follow-up care noted with more well visits (6.7 vs. 5.3) in the first six months; no difference in 2-year readmission rates.

Conclusions:

  • The multidisciplinary team has effectively improved the inpatient management of infants with severe bronchopulmonary dysplasia.
  • The implementation of a specialized team positively impacted key clinical outcomes and post-discharge care for sBPD patients.
Abstract

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