Retrospective Analysis of an Interdisciplinary Ventilator Care Program Intervention on Survival of Infants with Ventilator-Dependent Bronchopulmonary Dysplasia
| Autor: | Christopher D. Baker, Alicia Grenolds, Steven H. Abman, Jason Gien, John Kinsella, Jodi Thrasher |
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| Rok vydání: | 2016 |
| Předmět: |
Male
Pediatrics medicine.medical_specialty Neonatal intensive care unit Birth weight Population Mean airway pressure Article 03 medical and health sciences Tracheostomy 0302 clinical medicine 030225 pediatrics mental disorders medicine Humans education Survival rate Bronchopulmonary Dysplasia Expectorants Retrospective Studies Patient Care Team education.field_of_study Ventilators Mechanical business.industry Communication Infant Obstetrics and Gynecology Gestational age Interrupted Time Series Analysis Retrospective cohort study Continuity of Patient Care medicine.disease Respiration Artificial Survival Rate 030228 respiratory system Bronchopulmonary dysplasia Pediatrics Perinatology and Child Health Female Steroids business Infant Premature |
| Zdroj: | American Journal of Perinatology. 34:155-163 |
| ISSN: | 1098-8785 0735-1631 |
| DOI: | 10.1055/s-0036-1584897 |
| Popis: | Background The clinical needs of infants with severe bronchopulmonary dysplasia (BPD) that remain ventilator-dependent are complex, and management strategies that optimize survival and long-term outcomes controversial. We hypothesized that an interdisciplinary ventilator care program (VCP), committed to the care of this population will improve survival through standardized approaches to cardiopulmonary care and related comorbidities, enhanced communication, and continuity of care. Methods Retrospective chart reviews were performed on patients at Children's Hospital Colorado's neonatal intensive care unit, who underwent tracheostomy placement between 2000 and 2013. Data were collected for two time periods: 2000 to 2005 and 2006 to 2013, before and after initiation of the VCP. Collected data on infants with ventilator-dependent BPD included: gestational age (GA), age at tracheostomy, respiratory severity score (RSS; mean airway pressure [MAP] × fraction of inspired oxygen [FiO 2 ]), comorbidities, medication use, and the age of death. Tracheostomy patients without severe BPD were excluded. Results Despite no difference in GA, birth weight, or cardiorespiratory comorbidities, survival to discharge increased from 50 to 85% after implementation of the VCP ( p Conclusion These findings suggest an interdisciplinary approach to the care of infants with ventilator-dependent BPD can improve survival. |
| Databáze: | OpenAIRE |
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