Inpatient education reduces length of outpatient oxygen therapy in bronchopulmonary dysplasia: A quality improvement project. Pediatr Pulmonol 2024 Jun;59(6):1677-1685
Date
03/19/2024Pubmed ID
38501327DOI
10.1002/ppul.26971Scopus ID
2-s2.0-85188517795 (requires institutional sign-in at Scopus site) 1 CitationAbstract
BACKGROUND: Patients discharged on home oxygen therapy (HOT) for bronchopulmonary dysplasia (BPD) often receive months of this therapy. A previous trial comparing two methods of HOT weaning showed that increased parent involvement in HOT weaning decreased HOT duration. Our outpatient team uses a standard protocol for outpatient HOT weaning, starting at the first clinic visit 4-6 weeks after discharge.
AIM: To shorten HOT duration by teaching parents the outpatient HOT weaning process before neonatal intensive care unit (NICU) discharge.
METHODS: We launched a quality improvement program in April 2021 for preterm infants with BPD without significant comorbidities who were stable on ≤0.5 L nasal cannula. Eligible infants started the outpatient HOT weaning protocol while inpatient, with education for parents and nurses. The outcome measure was the duration of HOT after discharge. Process measures focused on protocol adherence. Balancing measures included NICU length of stay and appropriateness of parent-directed HOT weaning.
RESULTS: During the study period, there were a total of 133 eligible patients discharged on home oxygen, with 75 in the baseline group and 58 in the intervention group. Forty-five (78%) participated in the HOT weaning protocol while inpatient. HOT was reduced from an average of 27 to 12 weeks after May 2021. We observed no change in NICU length of stay or inappropriate HOT weaning.
CONCLUSION: Early introduction of HOT weaning with a focus on caregiver education is associated with a decreased duration of HOT.
Author List
Berlin KEK, Lagatta J, Dawson S, Malnory M, Scott W, Sprecher AAuthors
Kathryn Berlin DO Assistant Professor in the Pediatrics department at Medical College of WisconsinJoanne M. Lagatta MD Professor in the Pediatrics department at Medical College of Wisconsin
Alicia Sprecher MD Assistant Professor in the Pediatrics department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Bronchopulmonary DysplasiaFemale
Home Care Services
Humans
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
Length of Stay
Male
Oxygen Inhalation Therapy
Parents
Patient Discharge
Patient Education as Topic
Quality Improvement
