Comparison of Follow-up Courses after Discharge from Neonatal Intensive Care Unit between Very Low Birth Weight Infants with and without Home Oxygen

Kim, Jisook; Shim, Jae Won; Lee, Jang Hoon; Chang, Yun Sil

doi:10.3346/jkms.2017.32.8.1295

Cited by 7 publications

(12 citation statements)

References 27 publications

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“…Our study showed that the duration of home oxygen use was 25 (7,42) days, which is shorter than previous studies (20,27). Kim et al reported that the duration of home oxygen was 69 ± 99 days for very low birth weight infants; however, Ejiawoko et al showed that the median age of weaning off supplemental oxygen was 10.1 months after initial hospital discharge.…”

Section: Discussioncontrasting

confidence: 59%

“…Lagatta et al (26) reported that home oxygen was used in 53% of infants in 22 regional NICUs in the United States. Kim et al (27) found that the proportion of home oxygen was 13.7% in total VLBW infants and 54.6% in GA less than 29 weeks. Our single-center data showed that about one-third of infants with BPD needed home oxygen post-discharge.…”

Section: Discussionmentioning

confidence: 99%

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Home oxygen use and 1-year outcome among preterm infants with bronchopulmonary dysplasia discharged from a Chinese regional NICU

Lin

Chen

et al. 2022

Front. Pediatr.

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ObjectiveThis study aims to compare the clinical characteristics and 1-year outcomes of preterm infants with bronchopulmonary dysplasia (BPD) who were discharged on supplemental oxygen or room air.Materials and MethodsThe preterm infants (born <32 weeks’ gestation, birth weight ≤1,250 g) diagnosed with BPD and admitted between January 2020 and December 2020 were enrolled. The clinical data during hospitalization were collected through the hospital’s electronic record system. The outcomes after discharge were acquired from the outpatient system and through telephonic interviews.ResultsOf the 87 preterm infants diagnosed with BPD, 81 infants survived until discharge. The 81 infants were divided into the home oxygen group (n = 29) and room air group (n = 52) according to supplemental oxygen or not at discharge. Infants in the home oxygen group were more likely to receive postnatal systemic steroids and higher ventilation settings at 36 weeks’ PMA. There was one patient in each group who died before 1 year corrected age, respectively. All the infants had successfully weaned off oxygen eventually during the first year. The median duration of home oxygen therapy was 25 (7,42) days. Readmission occurred in 49 (64.5%) infants. Readmissions for infants with home oxygen were more often related to respiratory disease. In addition, wheezing disorders and home inhalation occurred more frequently in the home oxygen group (p = 0.022, p = 0.004). Although the incidence of underweight at 1 year corrected age was higher in the room air group (10.0 vs. 3.8%), there was no significant difference (p = 0.620). The rate of neurodevelopmental impairment was similar between these two groups (26.0 vs. 30.8%, p = 0.659).ConclusionsIt was the first study focused on preterm infants with BPD receiving home oxygen in China. Infants with home oxygen were more likely to have respiratory problems after discharge from NICU. Home oxygen use was not associated with more readmission for infants with BPD, and no difference was found in neurodevelopmental impairment and growth outcome.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Home oxygen use and 1-year outcome among preterm infants with bronchopulmonary dysplasia discharged from a Chinese regional NICU

Lin

Chen

et al. 2022

Front. Pediatr.

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“…BPD is the most common chronic disease in VLBW infants (Hack et al, ) and is associated with non‐respiratory complications such as cerebral palsy and other movement disorders, cognitive impairment, and major sensory disturbances in hearing and vision (Cheong & Doyle, ; Majnemer et al, ). Respiratory problems are the most common causes of hospital readmission 1 year after discharge among VLBW infants (Kim et al, ; Ralser et al, ; Vohr et al, ). In this study, respiratory diseases such as RDS or BPD were the most worrisome problems and important concern of parents of premature infants.…”

Section: Discussionmentioning

confidence: 99%

“…In this study, respiratory diseases such as RDS or BPD were the most worrisome problems and important concern of parents of premature infants. In preterm infants who needed oxygen at discharge, hospital utilization, reentry, and mortality rates were high regardless of gestational age (Kim et al, ). Therefore, medical staff needs to provide parents with detailed and accurate information concerning respiratory distress, even if the premature infants do not have acute respiratory illnesses.…”

Section: Discussionmentioning

confidence: 99%

Parental anxiety regarding premature infants and factors affecting parental concern

Lee

Yeon

et al. 2019

Specialist Pediatric Nursing

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Purpose Premature births have a great impact on the parents. The purpose of this study was to investigate the anxieties of parents of premature infants regarding infantile diseases and to help medical staff better communicate with parents of premature infants. Design and Methods This study included premature infants <37 weeks of age who were admitted to the Neonatal Intensive Care Unit of Kosin University Gospel Hospital between August 1, 2017, and December 31, 2017. The eligible subjects included 51 premature infants with their 75 parents (45 mothers and 30 fathers) listed in the children's medical records. Parental anxieties regarding the infants were determined by retrospective interviews at various time points as follows: before and after the birth, on postnatal Days 3 and 7, before discharge, in the first week after discharge, and at “whenever” time point. Results The highest parental anxiety during all time points was regarding the respiratory system of the premature infants. Parental concerns regarding the metabolic–endocrine system of their infants significantly correlated with the presence of maternal diabetes mellitus. Parental anxiety significantly differed depending on the use of resuscitation after birth. A statistically significant difference in parental anxiety was observed in relation to the birth weight before discharge. The premature infants with bronchopulmonary dysplasia showed a significant difference in the level of parental anxiety concerning the infant's illness in the first week after discharge. Conclusions The parents of the premature infants were greatly concerned about their infants’ respiratory system. Careful prenatal counseling and support are needed for mothers with diabetes.

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“…1 Medical advancements within the neonatal intensive care unit (NICU) over the past 2 decades have increased the survival of premature infants both within the United States [2][3][4][5] and internationally, 6,7 especially for those born extremely preterm (ie, <28 weeks' gestation). 2 The increase in preterm birth and survival has resulted in a growing population of children with prematurity-related morbidities, such as technology-dependent infants discharged from the NICU who require continued respiratory [8][9][10][11][12] and/or nutritional [13][14][15][16] support at home. Medical technologies enable infants to continue to grow and thrive at home following NICU discharge.…”

mentioning

confidence: 99%

Finding a New Normal

Norton¹,

Hagstrom²

2022

Advances in Neonatal Care

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Background: Infants discharged from the neonatal intensive care unit (NICU) dependent on medical technology (eg, respiratory or nutritional support) are a growing vulnerable population. These infants are medically fragile, prone to emergency department visits and readmissions, and require increased caregiver demands at home. The experiences of their maternal caregiver's after NICU discharge however, are not well understood. Purpose: This qualitative descriptive study addressed this knowledge gap by interviewing mothers of technologydependent infants about their experience during their first 2 weeks transitioning to home from the NICU. This is a critical period in which mothers must first assume advanced caretaking responsibilities in the home. Methods: Eight mothers participated in semistructured audio-recorded interviews via the Web conferencing system Zoom and completed demographic questionnaires. Results: Five themes emerged from the data that described essential features of the mothers' transition to home: (a) needing coordinated discharge care; (b) establishing a routine; (c) being an advocate; (d) having a support system; and (e) finding normalcy. An additional important finding of this study was the presence of maternal posttraumatic stress and postpartum depression. Implications for Practice: Results highlight the importance of providing mothers hands-on practice opportunities and identifying social support and home healthcare options prior to discharge of technology-dependent infants. Implications for Research: Future research should focus on multidisciplinary interventions targeted toward discharge preparation, transitional support, and understanding maternal psychiatric symptoms among mothers of technologydependent infants.

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Comparison of Follow-up Courses after Discharge from Neonatal Intensive Care Unit between Very Low Birth Weight Infants with and without Home Oxygen

Cited by 7 publications

References 27 publications

Home oxygen use and 1-year outcome among preterm infants with bronchopulmonary dysplasia discharged from a Chinese regional NICU

Home oxygen use and 1-year outcome among preterm infants with bronchopulmonary dysplasia discharged from a Chinese regional NICU

Parental anxiety regarding premature infants and factors affecting parental concern

Finding a New Normal

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