Title
Outpatient Respiratory Management of Infants, Children, and Adolescents with Post-Prematurity Respiratory Disease
Authoring Organization
Publication Month/Year
December 9, 2021
Last Updated Month/Year
October 4, 2024
Supplemental Implementation Tools
Document Type
Guideline
Country of Publication
US
Document Objectives
This document provides an evidence-based clinical practice guideline on the outpatient management of infants, children, and adolescents with post-prematurity respiratory disease (PPRD).
Target Patient Population
Infants, children, and adolescents with PPRD.
PICO Questions
Should infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD and who have respiratory symptoms (wheezing, cough, tachypnea) receive short- acting, inhaled bronchodilators?
Should infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD and who have respiratory symptoms (wheezing, cough, tachypnea) routinely receive inhaled corticosteroids?
Should infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD and who have respiratory symptoms (wheezing, cough, tachypnea) routinely receive diuretic therapy?
Should all infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD undergo baseline diagnostic PSG?
Should all infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD undergo a swallow evaluation?
Should all infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD undergo airway endoscopy?
Should all infants, children, and adolescents born preterm (gestational age less than 37 wk) with PPRD undergo diagnostic imaging for TBM?
Inclusion Criteria
Male, Female, Adolescent, Child, Infant
Health Care Settings
Ambulatory, Childcare center, Hospital, Outpatient
Intended Users
Nurse, nurse midwife, nurse practitioner, physician, physician assistant, respiratory therapist
Scope
Treatment, Management
Diseases/Conditions (MeSH)
D007363 - Intensive Care Units, Neonatal, D015931 - Intensive Care, Neonatal, D007235 - Infant, Premature, Diseases
Keywords
neonatal respiratory distress, neonatal, NICU, neonatal intensive care unit, PPRD, post-prematurity, respiratory disease
Source Citation
Cristea AI, Ren CL, Amin R, Eldredge LC, Levin JC, Majmudar PP, May AE, Rose RS, Tracy MC, Watters KF, Allen J, Austin ED, Cataletto ME, Collaco JM, Fleck RJ, Gelfand A, Hayes D Jr, Jones MH, Kun SS, Mandell EW, McGrath-Morrow SA, Panitch HB, Popatia R, Rhein LM, Teper A, Woods JC, Iyer N, Baker CD. Outpatient Respiratory Management of Infants, Children, and Adolescents with Post-Prematurity Respiratory Disease: An Official American Thoracic Society Clinical Practice Guideline. Am J Respir Crit Care Med. 2021 Dec 15;204(12):e115-e133. doi: 10.1164/rccm.202110-2269ST. PMID: 34908518.