Comprehensive Center for Bronchopulmonary Dysplasia, Nationwide Children's Hospital and Division of Neonatology, Department of Pediatrics, Ohio State University College of Medicine, Columbus, OH, USA.
Expert Rev Respir Med. 2023 Jul-Dec;17(11):989-1002. doi: 10.1080/17476348.2023.2283120. Epub 2023 Dec 26.
Bronchopulmonary dysplasia (BPD) is a chronic respiratory disease in neonates and infants, which often presents with multisystem organ involvement, co-morbidities, and prolonged hospital stays. Therefore, a multidisciplinary chronic care approach is needed in the severest forms of BPD to optimize outcomes. However, this approach can be challenging to implement. The objective of this article is to review and synthesize the available literature regarding multidisciplinary care in infants and children with established BPD, and to provide a framework that can guide clinical practice and future research.
A literature search was conducted using Ovid MEDLINE, CINAHL, and Embase and several components of multidisciplinary management of BPD were identified and reviewed, including chronic care, team development, team members, discharge planning, and outpatient care.
Establishing a core multidisciplinary group familiar with the chronicity of established BPD is recommended as best practice for this population. Acknowledging this is not feasible for all individual centers, it is important for clinical practice and future research to focus on the development and incorporation of national consulting services, telemedicine, and educational resources.
支气管肺发育不良（BPD）是一种新生儿和婴儿的慢性呼吸系统疾病，常伴有多系统器官受累、合并症和延长住院时间。因此，在最严重的 BPD 形式中需要多学科的慢性护理方法，以优化结果。然而，这种方法的实施可能具有挑战性。本文的目的是回顾和综合现有的关于已确诊 BPD 的婴儿和儿童多学科护理的文献，并提供一个可以指导临床实践和未来研究的框架。
使用 Ovid MEDLINE、CINAHL 和 Embase 进行了文献检索，并确定和审查了 BPD 多学科管理的几个组成部分，包括慢性护理、团队发展、团队成员、出院计划和门诊护理。
建议为该人群建立一个熟悉慢性 BPD 的核心多学科小组作为最佳实践。承认这对所有个别中心来说都不可行，因此，临床实践和未来的研究重点应放在国家咨询服务、远程医疗和教育资源的发展和纳入上。
