E 389 - Survey of Bronchopulmonary Dysplasia (BPD) Services in Twenty Hospitals in the North West Region of England

Published Date: 30th June 2022

Publication Authors: Chilukuri L, Maddipati T

Abstract
The purpose of this report is to analyze the functioning of BPD services, in accordance with evidence-based medicine, in a range of North West hospitals and then suggesting changes to the service if needed. To enable this, the authors have designed a standardized questionnaire to interview the hospitals which cover five main areas. These include: organization of the team, discharge process from the hospital, monitoring and weaning of oxygen at home and immediate as well as long-term follow-up.

To summarize, our findings show that although there are wide discrepancies in the practice offered by the different BPD services across the region, it is clear that BPD specialists and BPD-specific clinics can provide a wealth of benefits for the patients and their families. From our results, we noted that only four out of twenty hospitals had a dedicated BPD clinic with five out of twenty having no set criteria for follow-up, post-hospital discharge. If follow-up was organized, the interval time varied between two to six months, with the follow-up age ranging from zero to five years. In addition, the majority did not have a clear consensus as to who would constitute a BPD team. Furthermore, we noted that five out of twenty hospitals did not have any guidelines of how to wean oxygen in the community; therefore, the weaning process ranged from weekly to fortnightly with no set criteria.

In conclusion, this report highlights the importance of having a standardized approach to BPD care. We can ensure this by organizing multi-disciplinary clinics and setting evidence-based guidelines for discharge planning, patient follow-up and monitoring oxygen therapy. Upon reflection, BPD care is a complex topic and we hope that this survey is a preliminary step in developing a unified BPD service.

Chilukuri, L; Choaudary, D; Krishnamurthy, V; Maddipati, T; Macgallard, R. (2022). E 389 - Survey of Bronchopulmonary Dysplasia (BPD) Services in Twenty Hospitals in the North West Region of England. Pediatric Pulmonology. 57(Suppl 2), p.S107. [Online]. Available at: https://onlinelibrary.wiley.com/doi/10.1002/ppul.25963 [Accessed 16 August 2022]

 

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