Table 4.

Determining if infant needs endocrine consult and/or ACTH stimulation test in the preterm infant with BPD.

Length of steroids (including wean)	≤9 days	10–14 days	10–14 days	14–28 days	14–28 days	>28 days
Length of time in hospital post steroids	NA	≥2 weeks	<2 weeks	≥4 weeks	<4 weeks	NA
Endo consult?	No	No	No	No	Yes	Yes
If yes, consult when?	–	–	–	–	Immediately	2 weeks after steroids stopped or 2 weeks prior to estimated hospital discharge, whichever is earlier
ACTH stim test?	No	No	No	No	Determined at time of consult	Yes
Endo follow-up	No	No	No but PCP 1 week post-hospital discharge	No	Yes	Based on ACTH test
Stress dose instructions	No	No	No	No	Determined at time of consult	Based on ACTH test

Endo pediatric endocrinology, ACTH adrenocorticotropic hormone, PCP primary care provider.