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Optimizing Neurodevelopment in Infants With Severe Bronchopulmonary Dysplasia
Kelly Susey1, Melissa Hanin1, Anna Dicari1
1Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital Columbus, Ohio.
Insights
Bronchopulmonary dysplasia (BPD) is linked to neurodevelopmental issues, often worsened by long hospital stays. This review explores clinical strategies to improve neurodevelopmental outcomes for infants with BPD.
Area of Science:
- Neonatal Medicine
- Pediatric Neurology
- Developmental Pediatrics
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic lung disease in premature infants.
- BPD is associated with significant neurodevelopmental impairments.
- Prolonged hospitalization during critical brain development exacerbates these issues.
Purpose of the Study:
- To review current evidence on neurodevelopmental outcomes in infants with BPD.
- To examine the impact of clinical management on neurodevelopmental trajectories.
- To provide practical recommendations for optimizing care in the NICU.
Main Methods:
- Literature review of studies on BPD and neurodevelopmental outcomes.
- Analysis of clinical management strategies and their effects.
- Synthesis of evidence to inform practical recommendations.
Main Results:
- Established link between BPD and neurodevelopmental impairment.
- Clinical management plays a crucial role in influencing outcomes.
- Evidence suggests specific approaches can mitigate negative impacts.
Conclusions:
- Optimizing neurodevelopmental outcomes in BPD requires a multifaceted approach.
- Integrating neurodevelopmental-focused care and parent perspectives is essential.
- Further research is needed to refine management strategies for BPD survivors.
Abstract:
Bronchopulmonary dysplasia (BPD) is associated with multiple morbidities, including neurodevelopmental impairment. This association is multifactorial and further complicated by prolonged hospital stays during a critical period of rapid brain growth. Despite the well-established link between neurodevelopmental impairment and BPD, a gap in the literature exists regarding strategies to optimize these outcomes. In this review, we summarize current evidence on neurodevelopmental outcomes in patients with BPD and examine how clinical management may impact these outcomes. We also provide practical recommendations for caring for patients with BPD in the neonatal intensive care unit, emphasizing neurodevelopmental approaches and incorporating the parent perspective.
