Approaches to Interdisciplinary Care for Infants with Severe Bronchopulmonary Dysplasia: A Survey of the Bronchopulmonary Dysplasia Collaborative

• Published in: American journal of perinatology Vol. 41; no. S 01; p. e536
• Main Authors: Cristea, A Ioana, Tracy, Michael C, Bauer, Sarah E, Guaman, Milenka Cuevas, Welty, Stephen E, Baker, Christopher D, Bhombal, Shazia, Collaco, Joseph M, Courtney, Sherry E, DiGeronimo, Robert J, Eldredge, Laurie C, Gibbs, Kathleen, Hayden, Lystra P, Keszler, Martin, Lai, Khanh, McGrath-Morrow, Sharon A, Moore, Paul E, Rose, Rebecca, Sindelar, Richard, Truog, William E, Nelin, Leif D, Abman, Steven
• Format: Journal Article
• Language: English
• Published: United States 01-05-2024
• Subjects: Ambulatory Care; Bronchopulmonary Dysplasia - therapy; Humans; Infant, Extremely Premature; Infant, Newborn; Intensive Care Units, Neonatal; Patient Care Team - organization & administration; Surveys and Questionnaires; United States; United States
• ISSN: 1098-8785
• DOI: 10.1055/s-0042-1755589

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.
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.
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.
Further studies to assess long-term outcomes are needed to optimize interdisciplinary care of infants with severe BPD.
· Care of infants with BPD requires a longitudinal approach from the NICU to ambulatory care.. · Benefits of interdisciplinary care for children have been observed in other chronic conditions.. · Current approaches for the development of optimal interdisciplinary BPD programs vary among centers..