Abstract
The goal was to evaluate the stability of the infant with BPD following a NICU stay as measured by readmission rates and changes to the plan of care within the first year following discharge. Specifically, we looked at the number of infants with BPD who received a tracheostomy or long-term mechanical ventilation after discharge from the NICU.|Using the Neonatal Information System III database, patients with BPD were identified. Using the inclusion criteria of a) discharge from Children’s NICU between the months of July 2005- July 2010 and b) follow-up appointment scheduled with the Children’s Hospital and Medical Center, qualifying patients were examined for exclusion criteria. Exclusions included DNR status at time of discharge and the diagnosis of Congenital Heart Disease. After the population was identified, demographic data and baseline data on the management and treatment of BPD were collected. Demographic data included gestational age, birthweight, presence of a PDA on echocardiogram, number and length of courses of steroids (including dexamethasone, hydrocortisone, and prednisolone), total length of stay, and ventilator days. Management and treatment data included a trend oximetry, pneumogram, or echocardiogram performed within 30 days of discharge. Information was collected regarding the management of the infant at discharge includes the use of oxygen, steroids, sildenafil, diuretics, presence of a tracheostomy, and use of long term mechanical ventilation. Finally, readmission visits during the first year following discharge from the NICU were reviewed via ChartMaxx and changes to the plan of care were identified. Changes to the plan of care included the addition of home oxygen, a tracheostomy, or long term mechanical ventilation. Data was analyzed and trends in management identified.