The BIT:S (Bronchopulmonary Dysplasia Interdisciplinary Team: Severe) Initiative at Women and Infants Hospital of Rhode Island

R I Med J (2013). 2019 Apr 1;102(3):22-25.

Abstract

Bronchopulmonary dysplasia (BPD) is a major cause of morbidity and mortality in surviving extremely preterm infants, with long-term morbidity disproportionately affecting children with severe BPD (sBPD). Infants with sBPD experience multiple organ system dysfunction. To best treat these complicated patients, we created a multidisciplinary team in 2011 consisting of multiple pediatric subspecialists with a specific interest in sBPD. In the past six years, 150 patients have been referred to our multidisciplinary team, with 131 of the 150 patients discharged home, 65% on home oxygen. Twelve were transferred to the Pediatric Intensive Care Unit (PICU), 3 to a level 2 nursery and 4 died. The multidisciplinary BPD team has standardized the care of children with sBPD and complex medical problems and improved outpatient referral to subspecialists.

Keywords: bronchopulmonary dysplasi; chronic lung disease; neonate; preterm.

MeSH terms

  • Adult
  • Bronchopulmonary Dysplasia / therapy*
  • Female
  • Gestational Age
  • Humans
  • Infant
  • Infant, Extremely Premature
  • Infant, Newborn
  • Male
  • Patient Care Team / organization & administration*
  • Patient Discharge / statistics & numerical data*
  • Rhode Island
  • Standard of Care
  • Young Adult