The researchers have worked to create consensus recommendations among national efforts to help with the transition and coordination of care for preterm infants with lung disease around discharge from the neonatal intensive care unit to home. This study looks to evaluate implementation of the recommendations at Boston Children's Hospital and referring NICU's (Beth Israel Deaconess Medical Center and Brigham and Women's Hospital). Specifically, the research team will be looking at follow-up rates, healthcare utilization, and parental satisfaction/feedback with implementation of these guidelines.
Preterm infants born <32 weeks with at least mild BPD, defined as 28 days of respiratory support after birth.
Efforts will be made to include a mix of infants with mild, moderate, and severe BPD, including infants discharged on oxygen.
Discharge to a location other than home.
Infants with other congenital disease (cardiac, genetic, neurological) thought to contribute significantly to their respiratory disease.
This will be an implementation study, measuring outcomes 3 months prior and 3 months after enactment of a discharge bundle for preterm infants with BPD at local NICUs (Brigham and Women's Hospital, Beth Israel Deaconess Medical Center) who will be followed by Boston Children's Hospital.
Cohort
Prospective
Not listed
Healthcare Utilization
Review of emergency encounters, urgent care visits, and hospital readmissions in the first 6 months after NICU discharge.
Rates of pulmonary follow-up and use of telemedicine in follow-up
Review of medical record
Completion of recommended evaluations and testing
Review of medical record
Medication use
Review of medical record
Home oxygen use
Review of medical record
Click on the lead sponsor to view all of their trials.
Boston Children's Hospital
Lead sponsor
Beth Israel Deaconess Medical Center
Collaborator
Brigham and Women's Hospital
Collaborator
