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Published on: July 19, 2024
Multidisciplinary bronchopulmonary dysplasia care
Audrey N Miller1, Edward G Shepherd1, George El-Ferzli1
1Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital and Division of Neonatology, Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH, USA.
Insights
Multidisciplinary chronic care is vital for infants with bronchopulmonary dysplasia (BPD). This review offers a framework for implementing team-based management to improve outcomes for these complex pediatric respiratory patients.
Area of Science:
- Pediatric Pulmonology
- Neonatal Medicine
- Chronic Disease Management
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic respiratory disease in neonates and infants.
- BPD often involves multisystem organ involvement, co-morbidities, and prolonged hospital stays.
- A multidisciplinary chronic care approach is needed for severe BPD but is challenging to implement.
Purpose of the Study:
- To review and synthesize literature on multidisciplinary care for infants and children with established BPD.
- To provide a framework for clinical practice and future research in BPD management.
Main Methods:
- A literature search was conducted using Ovid MEDLINE, CINAHL, and Embase.
- Components of multidisciplinary BPD management were identified and reviewed.
- Key areas included chronic care, team development, discharge planning, and outpatient care.
Main Results:
- Establishing a core multidisciplinary team familiar with BPD chronicity is recommended.
- National consulting services, telemedicine, and educational resources are crucial for broader implementation.
- A framework for guiding clinical practice and future research was developed.
Conclusions:
- Multidisciplinary care is essential for optimizing outcomes in infants and children with established BPD.
- Innovative approaches like telemedicine and national consulting services can overcome implementation challenges.
- The proposed framework aims to enhance clinical practice and guide future research in BPD management.
Introduction:
Bronchopulmonary dysplasia (BPD) is a chronic respiratory disease in neonates and infants, which often presents with multisystem organ involvement, co-morbidities, and prolonged hospital stays. Therefore, a multidisciplinary chronic care approach is needed in the severest forms of BPD to optimize outcomes. However, this approach can be challenging to implement. The objective of this article is to review and synthesize the available literature regarding multidisciplinary care in infants and children with established BPD, and to provide a framework that can guide clinical practice and future research.
Areas Covered:
A literature search was conducted using Ovid MEDLINE, CINAHL, and Embase and several components of multidisciplinary management of BPD were identified and reviewed, including chronic care, team development, team members, discharge planning, and outpatient care.
Expert Opinion:
Establishing a core multidisciplinary group familiar with the chronicity of established BPD is recommended as best practice for this population. Acknowledging this is not feasible for all individual centers, it is important for clinical practice and future research to focus on the development and incorporation of national consulting services, telemedicine, and educational resources.
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