Influence of a comprehensive BPD follow-up clinic on one-year outcomes of patients with bronchopulmonary dysplasia discharged on home supplemental oxygen therapy
摘要
Infants with bronchopulmonary dysplasia (BPD) discharged on supplemental oxygen have complex care needs after discharge. This study explored the impact of a comprehensive BPD clinic on respiratory and growth outcomes, resource utilization, and healthcare expenditures for patients with BPD discharged home on oxygen.
Study designWe performed a retrospective study of 86 infants with moderate or severe BPD discharged on supplemental oxygen who were followed in a routine neonatal follow-up clinic or in a comprehensive BPD clinic with neonatology and pulmonary services. Outcomes were compared using univariate analyses.
ResultsDespite the higher complexity of the patients in the comprehensive clinic group, there were fewer unplanned non-ICU admissions and respiratory-related readmissions compared to patients in the neonatal follow-up group. The median number of emergency department visits and total healthcare expenditures were similar between groups.
ConclusionsComprehensive follow-up reduces readmissions without increasing healthcare costs for infants with BPD discharged home on supplemental oxygen.