Lapcharoensap Wannasiri, Lee Henry C, Nyberg Amy, Dukhovny Dmitry
Department of Pediatrics, Oregon Health and Science University, Portland, OR.
Department of Pediatrics, Stanford University, Stanford, CA.
Neoreviews. 2018 Apr;19(4):e211-e223. doi: 10.1542/neo.19-4-e211.
Despite significant technological advances and increasing survival of premature infants, bronchopulmonary dysplasia (BPD) continues to be the most prevalent major morbidity in surviving very low-birthweight infants. Infants with BPD are often sicker, require longer stays in the NICU, and accumulate greater hospital costs. However, care of the infant with BPD extends beyond the time spent in the NICU. This article reviews the costs of BPD in the health-care setting, during the initial hospitalization and beyond, and the long-term neurodevelopmental impact of BPD, as well as the impact on a family caring for a child with BPD.
尽管技术取得了重大进步,早产儿的存活率也有所提高,但支气管肺发育不良(BPD)仍然是存活的极低出生体重儿中最常见的主要发病情况。患有BPD的婴儿通常病情更严重,需要在新生儿重症监护病房(NICU)停留更长时间,并且会产生更高的住院费用。然而,对患有BPD的婴儿的护理并不仅限于在NICU的时间。本文回顾了BPD在医疗环境中、初次住院期间及之后的成本,以及BPD对神经发育的长期影响,以及对照顾患有BPD儿童的家庭的影响。