Protocolo de seguimiento de los pacientes con displasia broncopulmonar

Tarazona, S. Pérez; Esteban, Santiago; Diego, J. Alfonso; Agüero, M.I. Barrio Gómez de; Callejón, Alicia Callejón; Aznar, Ismael; Blázquez, O. de la Serna; Miró, X. Domingo; García, María Luz; Hernández, G. García; Paredes, Carmen; Medina, Orlando Mesa; Moreno‐Galdó, Antonio; Requena, L. Moreno; Pérez, Guadalupe; Posadas, Antonio Salcedo; Querol, M. Sánchez Solís de; Vernetta, Alba Torrent; Navarrete, Laura Valdesoiro; Sabaté, Manuel

doi:10.1016/j.anpedi.2015.04.020

Cited by 8 publications

(6 citation statements)

References 29 publications

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“…Es importante en la práctica clínica reconocer los beneficios de los PMC que permiten realizar el seguimiento de alto riesgo en los pacientes con DBP 33,35,36,49 . Fortalecer las estrategias de integración del sistema de salud al PMC, la atención multidisciplinaria, la adherencia por parte de los cuidadores, el vínculo del binomio madre hijo, la promoción del tiempo de lactancia materna, implementar medidas de prevención de la enfermedad respiratoria que incluyen esquemas de vacunación completos, no exposición a humos ni a personas con enfermedad infectocontagiosas, mantener un adecuado aporte nutricional y continuar con los estímulos de neurodesarrollo.…”

Section: Discussionunclassified

Bronchopulmonary dysplasia in patients of a kangaroo mother program in Popayán-Colombia. Retrospective cohort study

Pantoja-Gómez

Diaz-Castro²,

Caicedo-Rodríguez³

et al. 2022

Duazary

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El Programa Madre Canguro (PMC) permite un seguimiento a prematuros con comorbilidades como displasia broncopulmonar (DBP). El objetivo fue caracterizar los pacientes con DBP, describir su compromiso nutricional, neurológico, respiratorio en un PMC. Se realizó un estudio de cohorte retrospectivo en el PMC de un Hospital Universitario con aprobación del comité de ética. Incluyó pacientes con DBP entre 2015-2018, sin malformaciones mayores. Evaluamos el estado nutricional, neurológico y respiratorio a las 40 semanas, 6 y 12 meses de edad corregida mediante escalas recomendadas en Colombia. Realizamos análisis descriptivo y comparación según severidad de la DBP. Describimos la evolución en pacientes con seguimiento completo. Ingresaron 490 pacientes en cuatro años, 50 con DBP (10,2%); 58% con DBP-moderada, ninguno con DBP-severa. 96% de estrato socioeconómico bajo, 46% <29 semanas de edad gestacional y el 90% sometidos a ventilación mecánica. Encontramos compromiso del promedio de Talla/Edad a 6 y 12 meses. Prueba Amiel Tisson anormal en 98%. Cerca del 75% presentaron síntomas respiratorios entre 6 y 12 meses y 33% tuvo al menos un reingreso hospitalario. Los pacientes con DBP del PMC tienen compromiso en la Talla/Edad, neurodesarrollo y alteraciones respiratorias al completar el seguimiento.

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Section: Discussionunclassified

Bronchopulmonary dysplasia in patients of a kangaroo mother program in Popayán-Colombia. Retrospective cohort study

Pantoja-Gómez

Diaz-Castro²,

Caicedo-Rodríguez³

et al. 2022

Duazary

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“…Parents were informed to prepare HOT equipment and Sp o 2 monitor in advance for the premature infants with BPD who still relied on oxygen inhalation before discharge. After discharge, the chief nurse offered detailed discharge training, including HOT, and gave the parents relevant operation manuals 8. Besides, we established a WeChat group for communicating with the parents online, so that they could timely feedback the problems during HOT.…”

Section: Methodsmentioning

confidence: 99%

“…After discharge, the chief nurse offered detailed discharge training, including HOT, and gave the parents relevant operation manuals. 8 Besides, we established a WeChat group for communicating with the parents online, so that they could timely feedback the problems during HOT.…”

Section: Non-fic Groupmentioning

confidence: 99%

Family Integrated Care Shortens the Duration of Home Oxygen Therapy in Infants With Bronchopulmonary Dysplasia

Shen,

Wu,

Chen

et al. 2023

Advances in Neonatal Care

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Background: There have been few reports on whether family integrated care (FIC) can help premature infants with moderate to severe bronchopulmonary dysplasia (BPD) to shorten the duration of home oxygen therapy (HOT). Purpose: To investigate the effect of FIC on the duration of HOT in premature infants with moderate to severe BPD. Methods: The subjects were retrospectively selected from premature infants with moderate to severe BPD in our center between June 2019 and December 2021. Patients were divided into the FIC group (n = 47) and the non-FIC group (n = 34). For univariate analysis, t test, Mann–Whitney U test, Pearson χ2 test, or Fisher exact test was performed to explore the differences between the 2 groups. For multivariate analysis, simple and multiple linear regression was conducted to explore the effect of FIC on the duration of HOT. Results: (1) The duration of HOT and length of stay after grouping were significantly shorter in the FIC group than in the non-FIC group (P < .05). (2) The results of linear regression further revealed that FIC could significantly shorten the duration of HOT (simple linear regression, FIC [A] B: −12.709, 95% confidence interval (CI): −21.665 to −3.753; multiple linear regression, FIC [B] B: −11.419, 95% CI: −18.055 to −4.783). Implications for Practice and Research: FIC improved the optimal target oxygen saturation ratio before discharge and shortened the duration of HOT in premature infants with moderate and severe BPD. FIC should be promoted in China's neonatal intensive care units, though it puts forward new requirements for nursing education and training.

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“…Los glucocorticoides inhalados que son útiles para episodios repetidos de sibilancias. Los diuréticos como la furosemida son usados en el caso de pacientes hipoxémicos con edema pulmonar, sus efectos adversos no permiten el uso prolongado de furosemida; para minimizar los efectos secundarios en tratamientos prolongados es necesario el uso de diuréticos ahorradores de potasio como la espironolactona (27).…”

Section: Tratamientounclassified