Rates of Bronchopulmonary Dysplasia Following Implementation of a Novel Prevention Bundle

Bronchopulmonary dysplasia (BPD) rates in the United States remain high and have changed little in the last decade. To develop a consistent BPD prevention bundle in a systematic approach to decrease BPD. This quality improvement study included 484 infants with birth weights from 501 to 1500 g admitt...

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Veröffentlicht in:JAMA network open 2021-06, Vol.4 (6), p.e2114140-e2114140
Hauptverfasser: Villosis, Maria Fe B, Barseghyan, Karine, Ambat, Ma Teresa, Rezaie, Kambiz K, Braun, David
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Sprache:eng
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Zusammenfassung:Bronchopulmonary dysplasia (BPD) rates in the United States remain high and have changed little in the last decade. To develop a consistent BPD prevention bundle in a systematic approach to decrease BPD. This quality improvement study included 484 infants with birth weights from 501 to 1500 g admitted to a level 3 neonatal intensive care unit in the Kaiser Permanente Southern California system from 2009 through 2019. The study period was divided into 3 periods: 1, baseline (2009); 2, initial changes based on ongoing cycles of Plan-Do-Study-Act (2010-2014); and 3, full implementation of successive Plan-Do-Study-Act results (2015-2019). A BPD prevention system of care bundle evolved with a shared mental model that BPD is avoidable. The primary outcome was BPD in infants with less than 33 weeks' gestational age (hereafter referred to as BPD
ISSN:2574-3805
2574-3805
DOI:10.1001/jamanetworkopen.2021.14140