An interdisciplinary bronchopulmonary dysplasia program is associated with improved neurodevelopmental outcomes and fewer rehospitalizations
An interdisciplinary bronchopulmonary dysplasia program is associated with improved neurodevelopmental outcomes and fewer rehospitalizations
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DOI：
10.1038/jp.2011.45
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发表时间：
2012-01-01
影响因子：
2.9
通讯作者：
Gest, A. L.
中科院分区：
文献类型：
--
作者：
Shepherd, E. G.;Knupp, A. M.;Gest, A. L.
目的：支气管肺发育不良（BPD）是一种与神经发育不良和医疗结果相关的肺部疾病。BPD患者在医学上是脆弱的，并发症的风险很高，需要跨学科的护理。我们测试了一个假设，即BPD的慢性护理方法可以改善与国家儿童和人类发展研究所新生儿研究网络（NICHD NRN）相关的神经发育结果，并减少医疗并发症。研究设计：将婴儿分为住院患者和门诊患者。Bayley发育检查在18-24个月大时进行，并与NICHD NRN报告进行比较。最后，比较BPD综合中心（CCBPD）实施前后的再入院率（医疗并发症的替代指标）。结果：2007年和2008年获得的发育评分显示，中度BPD患者中有12%和10% （n = 61）具有Bayley评分
Objective: Bronchopulmonary dysplasia (BPD) is a pulmonary disease associated with poor neurodevelopmental and medical outcomes. Patients with BPD are medically fragile, at high risk for complications and require interdisciplinary care. We tested the hypothesis that a chronic care approach for BPD would improve neurodevelopmental outcomes relative to the National Institute of Child and Human Development Neonatal Research Network (NICHD NRN) and reduce medical complications.Study Design: Infants were followed as inpatients and outpatients. Bayley developmental exams were carried out at 18-24 months of age and compared with the NICHD NRN report. Finally, rates of readmission (a proxy for medical complications) were compared before and after implementation of the Comprehensive Center for BPD (CCBPD).Result: Developmental scores obtained in 2007 and 2008 show that 12 and 10% of patients with moderate BPD (n = 61) had Bayley Scores