Outpatient clinical care for bronchopulmonary dysplasia: A survey of the BPD collaborative

Paul E Moore; Lystra P Hayden; Natalie M Villafranco; Demet Toprak; Jessica L Rice; Lawrence M Rhein; Antonia P Popova; Robin L McKinney; Winston M Manimtim; Jonathan C Levin; Khanh V Lai; Susan C Gage; Manvi Bansal; Christopher D Baker; Eric D Austin; Amit Agarwal; Sharon A McGrath-Morrow; Joseph M Collaco

doi:10.1002/ppul.27296

Outpatient clinical care for bronchopulmonary dysplasia: A survey of the BPD collaborative

Pediatr Pulmonol. 2024 Oct 11. doi: 10.1002/ppul.27296. Online ahead of print.

Authors

Paul E Moore¹, Lystra P Hayden², Natalie M Villafranco³, Demet Toprak⁴, Jessica L Rice⁵, Lawrence M Rhein⁶, Antonia P Popova⁷, Robin L McKinney⁸, Winston M Manimtim⁹, Jonathan C Levin^{2

10}, Khanh V Lai¹¹, Susan C Gage¹², Manvi Bansal¹³, Christopher D Baker¹⁴, Eric D Austin¹, Amit Agarwal¹⁵, Sharon A McGrath-Morrow⁵, Joseph M Collaco¹⁶

Affiliations

¹ Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, Tennessee, USA.
² Division of Pulmonary Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
³ Pulmonary Medicine, Texas Children's Hospital and Baylor College of Medicine, Houston, Texas, USA.
⁴ Division of Pediatric Pulmonary and Sleep Medicine, Seattle Children's Hospital and University of Washington, Seattle, Washington, USA.
⁵ Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.
⁶ Neonatal-Perinatal Medicine/Pediatric Pulmonology, University of Massachusetts, Worcester, Massachusetts, USA.
⁷ Pediatric Pulmonology, University of Michigan, Ann Arbor, Michigan, USA.
⁸ Department of Pediatrics, Brown University School of Medicine, Providence, Rhode Island, USA.
⁹ Division of Neonatology, Children's Mercy-Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA.
¹⁰ Division of Newborn Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
¹¹ Division of Pediatric Pulmonary and Sleep Medicine, University of Utah, Salt Lake City, Utah, USA.
¹² Division of Pediatric Pulmonology, Children's Hospital of Orange County, Orange, California, USA.
¹³ Pulmonology and Sleep Medicine, Children's Hospital of Los Angeles, Los Angeles, California, USA.
¹⁴ Section of Pulmonary and Sleep Medicine, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA.
¹⁵ Division of Pulmonary Medicine, Arkansas Children's Hospital and University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
¹⁶ Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland, USA.

PMID: 39392254
DOI: 10.1002/ppul.27296

Abstract

Background: Bronchopulmonary dysplasia, a sequela of preterm birth, is the most common chronic respiratory disorder in infancy, and the second most common in children. Despite this, clinical care remains highly variable with guidelines supported by limited evidence, and do not provide specific guidance for timing of clinical follow-up, echocardiography, modalities of pulmonary function testing, etc. OBJECTIVE/METHODS: To further our understanding of care delivery for BPD, we sought to describe outpatient care patterns at tertiary care centers through survey data from 27 well-established BPD programs.

Results: We observed variability in referral patterns to outpatient BPD clinics, ancillary services provided, indications for follow-up echocardiograms, availability of lung function testing, and criteria for discharge from care.

Conclusion: More comprehensive and detailed clinical guidelines similar to other pulmonary diseases such as asthma and cystic fibrosis should be developed to help standardize care and may improve long term outcomes.

Keywords: bronchopulmonary dysplasia; follow‐up; outpatient; pulmonary function tests; survey.

Grants and funding

None