Neonatal Med.  2016 Aug;23(3):151-157. 10.5385/nm.2016.23.3.151.

Clinical Characteristics of Patients with Bronchopulmonary Dysplasia Admitted to Pediatric Intensive Care Unit

• Choi YC
• Jhang WK
• Park SJ

• KMID: 2350284
• DOI: http://doi.org/10.5385/nm.2016.23.3.151

Abstract

PURPOSE
As the incidence of bronchopulmonary dysplasia (BPD) has increased, it is important to understand the clinical outcomes of BPD patients discharged from neonatal intensive care units (NICU). The purpose of our study was to describe the characteristics of BPD patients who are re-hospitalized in a pediatric intensive care unit (PICU) and to evaluate the prognostic outcome factors.
METHODS
We retrospectively reviewed the medical records of BPD patients who were admitted to our PICU between May 2006 and November 2014. In total, we identified 101 cases which were divided into two groups, group 1, those who required intensive care for an acute illness or disease aggravation (n=62), and group 2, those who were admitted for post-operative care unrelated to having BPD as a control group (n=39). We subsequently compared the characteristics.
RESULTS
Most patients in group 1 were aged less than 1 year, with weight below the 3rd percentile for age at the time of their PICU admission. The main cause for their admission was respiratory failure, requiring mechanical ventilation. When comparing the two groups, group 1 showed higher gestational age at birth, and a longer duration of mechanical ventilation, oxygen support, and NICU hospitalization than group 2. However, we failed to identify any factor significantly associated with the duration of the PICU stay, hospital stay, and mortality. Further large-scale, long-term follow-up studies will be necessary.
CONCLUSION
As the majority of patients are admitted to PICU because of respiratory symptoms during their infantile period, careful follow-up with supportive care and prevention of respiratory infection are required.

Keyword

BPD; Chronic lung disease of infancy; PICU; Long-term outcome

MeSH Terms

Bronchopulmonary Dysplasia*
Critical Care*
Follow-Up Studies
Gestational Age
Hospitalization
Humans
Incidence
Infant, Newborn
Intensive Care Units*
Intensive Care Units, Neonatal
Length of Stay
Medical Records
Mortality
Oxygen
Parturition
Respiration, Artificial
Respiratory Insufficiency
Retrospective Studies
Oxygen