HOME CARE (HC) OF INFANTS WITH BRONCHOPULMONARY DYSPLASIA (BPD) AND OXYGEN (OD)

Autor: Geraldine S. Wilson, Dan K. Seilheimer, Susan D Thurber, Murdina M. Desmond, Matra H Lifschitz, Shirley Northrop
Rok vydání: 1984
Předmět:
Zdroj: Pediatric Research. 18:332A-332A
ISSN: 1530-0447
0031-3998
DOI: 10.1203/00006450-198404001-01437
Popis: Newborns who develop BPD and OD have costly hospitalizations and prolonged separation from their families. HC was provided to 26 ventilator independent infants who had BPD and required supplemental O2 to maintain a TcPO2 50-60mmHg. Practicability of HC was assessed in 13/26 at age >6 months.(=20.3 mo). Mean GA was 28 wk. Birth weight 1307 g, days on ventilation 79, hospital days 179. Morbidity included 11 patients that had HMD, 8 IVH, 4 PDA, 3 persistent fetal circulation, 11 ROP, and 4 GE reflux. All parents were high school educated and had health insurance. Parents' training prior to HC included feeding techniques, handling of O2 concentrator, administration of medication, and if indicated, use of monitor and CPR. Only few families required HC nursing. At present, 11/13 are off O2 (mean age cessation, 9 mos), 10/13 are fed entirely P.O. and 3 (ages 15-41 mos) are still fed by N.G. tube or gastrostomy. Six/13 had 13 readmissions, 38% related to pulmonary and 62 to GI/feeding problems. Nine remain
Databáze: OpenAIRE