71 Trends, Practice Patterns, and Opportunities for Improvement in Postnatal Steroids Use for Bronchopulmonary Dysplasia – Eleven Years Observational Study

Background Postnatal steroids (PNS) use in preterm infants improves pulmonary function in a select subset of patients but can potentially increase the risk of spontaneous intestinal perforation and cerebral palsy. Despite national guidelines, reducing intra-centre variation and demonstrating respons...

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Published in:Paediatrics & child health 2023-09, Vol.28 (Supplement_1), p.e33-e33
Main Authors: Kanagaraj, Uthaya Kumaran, Shivananda, Sandesh, Tan, Jason
Format: Article
Language:English
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Abstract / Résumés
Gestational age
Lung diseases
Observational studies
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Summary:Background Postnatal steroids (PNS) use in preterm infants improves pulmonary function in a select subset of patients but can potentially increase the risk of spontaneous intestinal perforation and cerebral palsy. Despite national guidelines, reducing intra-centre variation and demonstrating responsible stewardship in PNS use have been challenging. Objectives To describe (i) PNS type, regimen, time of initiation, use over time, and identify opportunities for improving practices in the use of PNS for bronchopulmonary dysplasia (BPD); (ii) outcome at discharge for infants who received PNS. Design/Methods We conducted a retrospective observational study in a quaternary NICU that included infants born at
ISSN:1205-7088
1918-1485
DOI:10.1093/pch/pxad055.071