Outpatient clinical care for bronchopulmonary dysplasia: A survey of the BPD collaborative.
bronchopulmonary dysplasia
follow‐up
outpatient
pulmonary function tests
survey
Journal
Pediatric pulmonology
ISSN: 1099-0496
Titre abrégé: Pediatr Pulmonol
Pays: United States
ID NLM: 8510590
Informations de publication
Date de publication:
11 Oct 2024
11 Oct 2024
Historique:
revised:
22
08
2024
received:
11
06
2024
accepted:
18
09
2024
medline:
11
10
2024
pubmed:
11
10
2024
entrez:
11
10
2024
Statut:
aheadofprint
Résumé
Bronchopulmonary dysplasia, a sequela of preterm birth, is the most common chronic respiratory disorder in infancy, and the second most common in children. Despite this, clinical care remains highly variable with guidelines supported by limited evidence, and do not provide specific guidance for timing of clinical follow-up, echocardiography, modalities of pulmonary function testing, etc. OBJECTIVE/METHODS: To further our understanding of care delivery for BPD, we sought to describe outpatient care patterns at tertiary care centers through survey data from 27 well-established BPD programs. We observed variability in referral patterns to outpatient BPD clinics, ancillary services provided, indications for follow-up echocardiograms, availability of lung function testing, and criteria for discharge from care. More comprehensive and detailed clinical guidelines similar to other pulmonary diseases such as asthma and cystic fibrosis should be developed to help standardize care and may improve long term outcomes.
Sections du résumé
BACKGROUND
BACKGROUND
Bronchopulmonary dysplasia, a sequela of preterm birth, is the most common chronic respiratory disorder in infancy, and the second most common in children. Despite this, clinical care remains highly variable with guidelines supported by limited evidence, and do not provide specific guidance for timing of clinical follow-up, echocardiography, modalities of pulmonary function testing, etc. OBJECTIVE/METHODS: To further our understanding of care delivery for BPD, we sought to describe outpatient care patterns at tertiary care centers through survey data from 27 well-established BPD programs.
RESULTS
RESULTS
We observed variability in referral patterns to outpatient BPD clinics, ancillary services provided, indications for follow-up echocardiograms, availability of lung function testing, and criteria for discharge from care.
CONCLUSION
CONCLUSIONS
More comprehensive and detailed clinical guidelines similar to other pulmonary diseases such as asthma and cystic fibrosis should be developed to help standardize care and may improve long term outcomes.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Subventions
Organisme : None
Informations de copyright
© 2024 Wiley Periodicals LLC.
Références
Collaco JM, McGrath‐Morrow SA. Respiratory phenotypes for preterm infants, children, and adults: bronchopulmonary dysplasia and more. Ann Am Thorac Soc. 2018;15:530‐538.
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(6):1617‐1625. doi:10.1002/ppul.25332
Manimtim WM, Agarwal A, Alexiou S, et al. Respiratory outcomes for ventilator‐dependent children with bronchopulmonary dysplasia. Pediatrics. 2023;151(5):e2022060651. doi:10.1542/peds.2022-060651
Cuevas Guaman M, Gien J, Baker C, Zhang H, Austin E, Collaco J. Point prevalence, clinical characteristics, and treatment variation for infants with severe bronchopulmonary dysplasia. Am J Perinatol. 2015;32:960‐967.
Higgins RD, Jobe AH, Koso‐Thomas M, et al. Bronchopulmonary dysplasia: executive summary of a workshop. J Pediatr. 2018;197:300‐308.
Levin JC, Annesi CA, Williams DN, et al. Discharge practices for infants with bronchopulmonary dysplasia: a survey of national experts. J Pediatr. 2023;253:72‐78.e3.
Abman SH, Collaco JM, Shepherd EG, et al. Interdisciplinary care of children with severe bronchopulmonary dysplasia. J Pediatr. 2017;181:12‐28 e1.
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;200:751‐759.
Levin JC, Sheils CA, Hayden LP. Pre‐Flight hypoxemia challenge testing in bronchopulmonary dysplasia. Pediatrics. 2023;152(2):e2022061001. doi:10.1542/peds.2022-061001
Keller RL, Feng R, DeMauro SB, et al. 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.
Lagatta J, Murthy K, Zaniletti I, et al. Home oxygen use and 1‐year readmission among infants born preterm with bronchopulmonary dysplasia discharged from children's hospital neonatal intensive care units. J Pediatr. 2020;220:40‐48.e5.
Collaco JM, Abman SH. Evolving challenges in pediatric pulmonary medicine. New opportunities to reinvigorate the field. Am J Respir Crit Care Med. 2018;198:724‐729.
Oermann CM, Lahiri T, Peterson‐Carmichael SL, Weiss P. The history of workforce concerns in pediatric pulmonary medicine. Pediatr Pulmonol. 2023;58:683‐689.
The Cystic Fibrosis Foundation Center Committee and Guidelines Subcommittee. Cystic Fibrosis Foundation guidelines for patient services, evaluation, and monitoring in cystic fibrosis centers. Am J Dis Child. 1990;144:1311‐1312.
Hislop AA, Haworth SG. Pulmonary vascular damage and the development of cor pulmonale following hyaline membrane disease. Pediatr Pulmonol. 1990;9:152‐161.
Abman SH. Bronchopulmonary dysplasia: “a vascular hypothesis”. Am J Respir Crit Care Med. 2001;164:1755‐1756.
Abman SH, Hansmann G, Archer SL, et al. Pediatric Pulmonary Hypertension: guidelines From the American Heart Association and American Thoracic Society. Circulation. 2015;132:2037‐2099.
Goss KN, Beshish AG, Barton GP, et al. Early pulmonary vascular disease in young adults born preterm. Am J Respir Crit Care Med. 2018;198:1549‐1558.
Kotecha SJ, Edwards MO, Watkins WJ, et al. Effect of preterm birth on later FEV1: a systematic review and meta‐analysis. Thorax. 2013;68:760‐766.
Rosenfeld M, Allen J, Arets BHGM, et al. An official American Thoracic Society workshop report: optimal lung function tests for monitoring cystic fibrosis, bronchopulmonary dysplasia, and recurrent wheezing in children less than 6 years of age. Ann Am Thorac Soc. 2013;10:S1‐S11.
Gonçalves DMM, Wandalsen GF, Scavacini AS, et al. Pulmonary function in former very low birth weight preterm infants in the first year of life. Respir Med. 2018;136:83‐87.
Smith EF, Bradshaw TK, Urs RC, et al. Oscillometry and spirometry are not interchangeable when assessing the bronchodilator response in children and young adults born preterm. Pediatr Pulmonol. 2023;58:3122‐3132.
Collaco JM, McGrath‐Morrow SA. Bronchopulmonary dysplasia as a determinant of respiratory outcomes in adult life. Pediatr Pulmonol. 2021;56(11):3464‐3471. doi:10.1002/ppul.25301
Vrijlandt EJLE, Gerritsen J, Boezen HM, Grevink RG, Duiverman EJ. Lung function and exercise capacity in young adults born prematurely. Am J Respir Crit Care Med. 2006;173:890‐896.
Rhein L, White H, Simoneau T, et al. Transmitted home oximetry and duration of home oxygen in premature infants. Pediatrics. 2020;146(2):e20200079. doi:10.1542/peds.2020-0079
Kulkarni G, de Waal K, Grahame S, et al. Polysomnography for the management of oxygen supplementation therapy in infants with chronic lung disease of prematurity. J Matern‐Fetal Neonatal Med. 2019;32:3640‐3646.
Hudson MM, Bhatia S, Casillas J, et al. Long‐term follow‐up care for childhood, adolescent, and young adult cancer survivors. Pediatrics. 2021;148(3):e2021053127. doi:10.1542/peds.2021-053127
Stout KK, Daniels CJ, Aboulhosn JA, et al. 2018 AHA/ACC guideline for the management of adults with congenital heart disease. J Am Coll Cardiol. 2019;73:e81‐e192.
Lilleboe HL, Engeset MS, Clemm HH, et al. Expiratory airflow limitation in adults born extremely preterm: a systematic review and meta‐analysis. Paediatr Respir Rev. 2024;50:2‐22. doi:10.1016/j.prrv.2024.02.002
Collaco JM, Eldredge LC, McGrath‐Morrow SA. Long‐term pulmonary outcomes in BPD throughout the life‐course. J Perinatol. 2024. doi:10.1038/s41372-024-01957-9