A multidisciplinary chronic lung disease team in a neonatal intensive care unit is associated with increased survival to discharge of infants with tracheostomy
| Autor: | Sara Kuckelman, Winston M Manimtim, Michael Norberg, Janelle R Noel-Macdonnell PhD, Taylor P Hansen, William E. Truog |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Lung Diseases
Pediatrics medicine.medical_specialty Neonatal intensive care unit Secondary pulmonary hypertension Logistic regression Article Tracheostomy Multidisciplinary approach Severe BPD Intensive Care Units Neonatal mental disorders Medicine Humans Bronchopulmonary Dysplasia Retrospective Studies Retrospective review Respiratory tract diseases business.industry Infant Newborn Obstetrics and Gynecology Gestational age Infant Prognosis Patient Discharge Lung disease Pediatrics Perinatology and Child Health Chronic Disease business |
| Zdroj: | Journal of Perinatology |
| ISSN: | 1476-5543 |
| Popis: | Objective To determine if multidisciplinary team-based care of severe BPD/CLD infants improve survival to discharge. Design/methods Retrospective review of severe BPD/CLD infants cared for by dedicated multidisciplinary CLD team using consensus-driven protocols and guidelines. Results Total of 267 patients. Median gestational age was 26 weeks (IQR 24, 32); median birth-weight was 0.85 (IQR 0.64, 1.5). Twenty-four percent were preterm with severe BPD, 46% had other primary respiratory diseases (none BPD diseases). Total number of patients, proportion of patients with tracheostomy, prematurity, and genetic diagnoses increased over time. 88.8% survived to discharge. Unadjusted logistic regression showed that tracheostomy was not associated with odds of death; secondary pulmonary hypertension was associated with odds of tracheostomy (OR = 1.795 p value = 0.0264), or death (OR = 8.587 p value = |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink