Early Transfer to a Rehabilitation Hospital For Infants With Chronic Bronchopulmonary Dysplasia

Steven J. Bachrach, Frank S. Pidcock, Paul A. Branca, Patricia L. Gilbert, Adele Schneider, Lisa Walko, Barbara Mchugh

Research output: Contribution to journalArticle

Abstract

Shortly after being weaned off the respirator, 43 infants with severe chronic bronchopulmonary dysplasia (BPD) were transferred from an intensive-care nursery at a teaching hospital to an affiliated children's rehabilitation hospital in a program that included special staff instruction. Morbidity, measured by rate of transfer back to the acute-care hospital, was lower than in a comparison group of 15 infants treated for severe BPD during the previous two years. Average length of stay was significantly shortened and an average of $60,000 per patient was saved. Using a rehabilitation hospital as a step-down unit shifts the emphasis from acute needs to chronic and developmental needs and from intensive monitoring and nursing care to care given at home by parents with nursing assistance.

Original languageEnglish (US)
Pages (from-to)535-541
Number of pages7
JournalClinical pediatrics
Volume32
Issue number9
DOIs
StatePublished - Sep 1993

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

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    Bachrach, S. J., Pidcock, F. S., Branca, P. A., Gilbert, P. L., Schneider, A., Walko, L., & Mchugh, B. (1993). Early Transfer to a Rehabilitation Hospital For Infants With Chronic Bronchopulmonary Dysplasia. Clinical pediatrics, 32(9), 535-541. https://doi.org/10.1177/000992289303200905