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Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia
AIM: A new specialised service for preterm infants with bronchopulmonary dysplasia requiring long-term oxygen therapy (LTOT) was established in 2007, led by the paediatric respiratory team, transitioning from neonatal-led follow-up. The new service included the utilisation of a clear protocol. Our o...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
European Respiratory Society
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431751/ https://www.ncbi.nlm.nih.gov/pubmed/30918896 http://dx.doi.org/10.1183/23120541.00183-2018 |
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author | Batey, Natalie Batra, Dushyant Dorling, Jon Bhatt, Jayesh Mahendra |
author_facet | Batey, Natalie Batra, Dushyant Dorling, Jon Bhatt, Jayesh Mahendra |
author_sort | Batey, Natalie |
collection | PubMed |
description | AIM: A new specialised service for preterm infants with bronchopulmonary dysplasia requiring long-term oxygen therapy (LTOT) was established in 2007, led by the paediatric respiratory team, transitioning from neonatal-led follow-up. The new service included the utilisation of a clear protocol. Our objective was to review whether this service initiation led to a reduction of time in LTOT and hospital readmissions. METHODS: We performed a retrospective cohort study of infants born at <32 weeks’ gestation requiring LTOT in a single tertiary neonatal service. Cases were identified from hospital records, BadgerNet and a local database for two cohorts, 2004–2006 and 2008–2010. Data collected for infants requiring LTOT included demographic details, length of neonatal stay, time in oxygen and hospital attendance rates. RESULTS: The initiation of the service led to an increase in the number of discharges in LTOT: 13.1% of infants born alive before 32 weeks’ gestation in comparison to 3.5% (p<0.001). However, the length of time in LTOT reduced from 15 to 5 months (p=0.01). There was no difference in hospital readmission rates (p=0.365). CONCLUSIONS: In our experience the increase in neonates requiring LTOT is likely to be due to enhanced provision of overnight oximetry studies prior to discharge. Structured monitoring and weaning led to a shorter duration of home oxygen therapy. |
format | Online Article Text |
id | pubmed-6431751 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | European Respiratory Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-64317512019-03-27 Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia Batey, Natalie Batra, Dushyant Dorling, Jon Bhatt, Jayesh Mahendra ERJ Open Res Original Articles AIM: A new specialised service for preterm infants with bronchopulmonary dysplasia requiring long-term oxygen therapy (LTOT) was established in 2007, led by the paediatric respiratory team, transitioning from neonatal-led follow-up. The new service included the utilisation of a clear protocol. Our objective was to review whether this service initiation led to a reduction of time in LTOT and hospital readmissions. METHODS: We performed a retrospective cohort study of infants born at <32 weeks’ gestation requiring LTOT in a single tertiary neonatal service. Cases were identified from hospital records, BadgerNet and a local database for two cohorts, 2004–2006 and 2008–2010. Data collected for infants requiring LTOT included demographic details, length of neonatal stay, time in oxygen and hospital attendance rates. RESULTS: The initiation of the service led to an increase in the number of discharges in LTOT: 13.1% of infants born alive before 32 weeks’ gestation in comparison to 3.5% (p<0.001). However, the length of time in LTOT reduced from 15 to 5 months (p=0.01). There was no difference in hospital readmission rates (p=0.365). CONCLUSIONS: In our experience the increase in neonates requiring LTOT is likely to be due to enhanced provision of overnight oximetry studies prior to discharge. Structured monitoring and weaning led to a shorter duration of home oxygen therapy. European Respiratory Society 2019-03-25 /pmc/articles/PMC6431751/ /pubmed/30918896 http://dx.doi.org/10.1183/23120541.00183-2018 Text en Copyright ©ERS 2019 http://creativecommons.org/licenses/by-nc/4.0/This article is open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0. |
spellingShingle | Original Articles Batey, Natalie Batra, Dushyant Dorling, Jon Bhatt, Jayesh Mahendra Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
title | Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
title_full | Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
title_fullStr | Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
title_full_unstemmed | Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
title_short | Impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
title_sort | impact of a protocol-driven unified service for neonates with bronchopulmonary dysplasia |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6431751/ https://www.ncbi.nlm.nih.gov/pubmed/30918896 http://dx.doi.org/10.1183/23120541.00183-2018 |
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