[Guidelines for the follow up of patients with bronchopulmonary dysplasia]
S Pérez Tarazona, S Rueda Esteban, J Alfonso Diego, M I Barrio Gómez de Agüero, A Callejón Callejón, I Cortell Aznar, O de la Serna Blázquez, X Domingo Miró, M L García García, G García Hernández, C Luna Paredes, O Mesa Medina, A Moreno Galdó, L Moreno Requena, G Pérez Pérez, A Salcedo Posadas, M Sánchez Solís de Querol, A Torrent Vernetta, L Valdesoiro Navarrete, M Vilella Sabaté, el Grupo de Trabajo de Patología Respiratoria Perinatal de la Sociedad Española de Neumología Pediátrica, S Pérez Tarazona, S Rueda Esteban, J Alfonso Diego, M I Barrio Gómez de Agüero, A Callejón Callejón, I Cortell Aznar, O de la Serna Blázquez, X Domingo Miró, M L García García, G García Hernández, C Luna Paredes, O Mesa Medina, A Moreno Galdó, L Moreno Requena, G Pérez Pérez, A Salcedo Posadas, M Sánchez Solís de Querol, A Torrent Vernetta, L Valdesoiro Navarrete, M Vilella Sabaté, el Grupo de Trabajo de Patología Respiratoria Perinatal de la Sociedad Española de Neumología Pediátrica
Abstract
Bronchopulmonary dysplasia (BPD) is the most common complication of preterm birth, and remains a major problem in pediatric pulmonology units. The decision of discharging from the Neonatal Unit should be based on a thorough assessment of the condition of the patient and compliance with certain requirements, including respiratory and nutritional stability, and caregiver education on disease management. For proper control of the disease, a schedule of visits and complementary tests should be established prior to discharge, and guidelines for prevention of exacerbations and appropriate treatment should be applied. In this paper, the Working Group in Perinatal Respiratory Diseases of the Spanish Society of Pediatric Pulmonology proposes a protocol to serve as a reference for the follow up of patients with BPD among different centers and health care settings. Key factors to consider when planning discharge from the Neonatal Unit and during follow up are reviewed. Recommendations on treatment and prevention of complications are then discussed. The final section of this guide aims to provide a specific schedule for follow-up and diagnostic interventions to be performed in patients with BPD.
Keywords: Bronchopulmonary dysplasia; Chronic lung disease; Displasia broncopulmonar; Enfermedad pulmonar crónica; Prematuridad; Prematurity; Recién nacido de muy bajo peso; Very low birth weight infant.
Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.
Source: PubMed