Need for supplemental oxygen at discharge in infants with bronchopulmonary dysplasia is not associated with worse neurodevelopmental outcomes at 3 years corrected age

To determine if chronic oxygen dependency (discharge home on supplemental oxygen) in children with bronchopulmonary dysplasia (BPD; defined as requirement for supplemental O2 at 36 weeks postmenstrual age) predicts neurodevelopmental disability rates and growth outcomes at 36 months corrected age (C...

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Veröffentlicht in:PloS one 2014-03, Vol.9 (3), p.e90843-e90843
Hauptverfasser: Lodha, Abhay, Sauvé, Reg, Bhandari, Vineet, Tang, Selphee, Christianson, Heather, Bhandari, Anita, Amin, Harish, Singhal, Nalini
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container_issue 3
container_start_page e90843
container_title PloS one
container_volume 9
creator Lodha, Abhay
Sauvé, Reg
Bhandari, Vineet
Tang, Selphee
Christianson, Heather
Bhandari, Anita
Amin, Harish
Singhal, Nalini
description To determine if chronic oxygen dependency (discharge home on supplemental oxygen) in children with bronchopulmonary dysplasia (BPD; defined as requirement for supplemental O2 at 36 weeks postmenstrual age) predicts neurodevelopmental disability rates and growth outcomes at 36 months corrected age (CA). Longitudinal cohort study. Southern Alberta regional center located at high altitude. Preterm infants weighing ≤1250 grams with no BPD, BPD, and BPD with chronic oxygen dependency. Neurodevelopmental and growth outcomes. Of 1563 preterm infants admitted from 1995-2007, 1212 survived. Complete follow-up data were available for 1030 (85%) children. Children in BPD and BPD with chronic oxygen dependency groups had significantly lower birth weights, gestational ages, prolonged mechanical ventilation and oxygen supplementation and received more postnatal steroids, compared to those without BPD. Children with BPD and BPD with chronic oxygen dependency were more likely to be below the 5th centile in weight and height compared to those without BPD but there was little difference between the BPD and BPD with chronic oxygen dependency groups. After controlling for confounding variables, children who had BPD and BPD with chronic oxygen dependency had higher odds of neurodevelopmental disability compared to those without BPD [OR (odds ratio) 1.9 (95%CI 1.1 to 3.5) and OR 1.8 (1.1 to 2.9), respectively], with no significant difference between BPD and BPD with chronic oxygen dependency [OR 0.9 (95% CI 0.6 to 1.5)]. BPD and BPD with chronic oxygen dependency in children predicts abnormal neurodevelopmental outcomes at 36 months CA. However, the neurodevelopmental disability rates were not significantly higher in BPD with chronic oxygen dependency children compared to children with BPD only. Compared to those without BPD, growth is impaired in children with BPD and BPD with chronic oxygen dependency, but no difference between the latter two groups.
doi_str_mv 10.1371/journal.pone.0090843
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Longitudinal cohort study. Southern Alberta regional center located at high altitude. Preterm infants weighing ≤1250 grams with no BPD, BPD, and BPD with chronic oxygen dependency. Neurodevelopmental and growth outcomes. Of 1563 preterm infants admitted from 1995-2007, 1212 survived. Complete follow-up data were available for 1030 (85%) children. Children in BPD and BPD with chronic oxygen dependency groups had significantly lower birth weights, gestational ages, prolonged mechanical ventilation and oxygen supplementation and received more postnatal steroids, compared to those without BPD. Children with BPD and BPD with chronic oxygen dependency were more likely to be below the 5th centile in weight and height compared to those without BPD but there was little difference between the BPD and BPD with chronic oxygen dependency groups. After controlling for confounding variables, children who had BPD and BPD with chronic oxygen dependency had higher odds of neurodevelopmental disability compared to those without BPD [OR (odds ratio) 1.9 (95%CI 1.1 to 3.5) and OR 1.8 (1.1 to 2.9), respectively], with no significant difference between BPD and BPD with chronic oxygen dependency [OR 0.9 (95% CI 0.6 to 1.5)]. BPD and BPD with chronic oxygen dependency in children predicts abnormal neurodevelopmental outcomes at 36 months CA. However, the neurodevelopmental disability rates were not significantly higher in BPD with chronic oxygen dependency children compared to children with BPD only. Compared to those without BPD, growth is impaired in children with BPD and BPD with chronic oxygen dependency, but no difference between the latter two groups.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0090843</identifier><identifier>PMID: 24646665</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Age ; Biology and Life Sciences ; Birth weight ; Bronchopulmonary dysplasia ; Bronchopulmonary Dysplasia - complications ; Bronchopulmonary Dysplasia - physiopathology ; Bronchopulmonary Dysplasia - therapy ; Child, Preschool ; Children ; Children &amp; youth ; Developmental Disabilities - etiology ; Developmental Disabilities - physiopathology ; Developmental Disabilities - therapy ; Discharge ; Dysplasia ; Female ; Gestational Age ; Health sciences ; Health services ; High altitude ; High-altitude environments ; Hospitals ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Infant, Very Low Birth Weight ; Infants ; Intensive care ; Longitudinal Studies ; Lung diseases ; Male ; Maternal &amp; child health ; Mechanical ventilation ; Medicine and Health Sciences ; Neurodevelopmental disorders ; Newborn babies ; Obstetrics ; Oxygen ; Oxygen - pharmacology ; Oxygen therapy ; Patient Discharge ; Pediatrics ; Premature infants ; Prognosis ; Research and Analysis Methods ; Respiration, Artificial ; Respiratory Insufficiency - complications ; Respiratory Insufficiency - physiopathology ; Respiratory Insufficiency - therapy ; Respiratory therapy ; Steroid hormones ; Steroids ; Supplementation ; Supplements ; Ultrasonic imaging ; Ventilation ; Ventilators</subject><ispartof>PloS one, 2014-03, Vol.9 (3), p.e90843-e90843</ispartof><rights>COPYRIGHT 2014 Public Library of Science</rights><rights>2014 Lodha et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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Longitudinal cohort study. Southern Alberta regional center located at high altitude. Preterm infants weighing ≤1250 grams with no BPD, BPD, and BPD with chronic oxygen dependency. Neurodevelopmental and growth outcomes. Of 1563 preterm infants admitted from 1995-2007, 1212 survived. Complete follow-up data were available for 1030 (85%) children. Children in BPD and BPD with chronic oxygen dependency groups had significantly lower birth weights, gestational ages, prolonged mechanical ventilation and oxygen supplementation and received more postnatal steroids, compared to those without BPD. Children with BPD and BPD with chronic oxygen dependency were more likely to be below the 5th centile in weight and height compared to those without BPD but there was little difference between the BPD and BPD with chronic oxygen dependency groups. 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defined as requirement for supplemental O2 at 36 weeks postmenstrual age) predicts neurodevelopmental disability rates and growth outcomes at 36 months corrected age (CA). Longitudinal cohort study. Southern Alberta regional center located at high altitude. Preterm infants weighing ≤1250 grams with no BPD, BPD, and BPD with chronic oxygen dependency. Neurodevelopmental and growth outcomes. Of 1563 preterm infants admitted from 1995-2007, 1212 survived. Complete follow-up data were available for 1030 (85%) children. Children in BPD and BPD with chronic oxygen dependency groups had significantly lower birth weights, gestational ages, prolonged mechanical ventilation and oxygen supplementation and received more postnatal steroids, compared to those without BPD. Children with BPD and BPD with chronic oxygen dependency were more likely to be below the 5th centile in weight and height compared to those without BPD but there was little difference between the BPD and BPD with chronic oxygen dependency groups. After controlling for confounding variables, children who had BPD and BPD with chronic oxygen dependency had higher odds of neurodevelopmental disability compared to those without BPD [OR (odds ratio) 1.9 (95%CI 1.1 to 3.5) and OR 1.8 (1.1 to 2.9), respectively], with no significant difference between BPD and BPD with chronic oxygen dependency [OR 0.9 (95% CI 0.6 to 1.5)]. BPD and BPD with chronic oxygen dependency in children predicts abnormal neurodevelopmental outcomes at 36 months CA. However, the neurodevelopmental disability rates were not significantly higher in BPD with chronic oxygen dependency children compared to children with BPD only. Compared to those without BPD, growth is impaired in children with BPD and BPD with chronic oxygen dependency, but no difference between the latter two groups.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>24646665</pmid><doi>10.1371/journal.pone.0090843</doi><tpages>e90843</tpages><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1932-6203
ispartof PloS one, 2014-03, Vol.9 (3), p.e90843-e90843
issn 1932-6203
1932-6203
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subjects Age
Biology and Life Sciences
Birth weight
Bronchopulmonary dysplasia
Bronchopulmonary Dysplasia - complications
Bronchopulmonary Dysplasia - physiopathology
Bronchopulmonary Dysplasia - therapy
Child, Preschool
Children
Children & youth
Developmental Disabilities - etiology
Developmental Disabilities - physiopathology
Developmental Disabilities - therapy
Discharge
Dysplasia
Female
Gestational Age
Health sciences
Health services
High altitude
High-altitude environments
Hospitals
Humans
Infant
Infant, Newborn
Infant, Premature
Infant, Very Low Birth Weight
Infants
Intensive care
Longitudinal Studies
Lung diseases
Male
Maternal & child health
Mechanical ventilation
Medicine and Health Sciences
Neurodevelopmental disorders
Newborn babies
Obstetrics
Oxygen
Oxygen - pharmacology
Oxygen therapy
Patient Discharge
Pediatrics
Premature infants
Prognosis
Research and Analysis Methods
Respiration, Artificial
Respiratory Insufficiency - complications
Respiratory Insufficiency - physiopathology
Respiratory Insufficiency - therapy
Respiratory therapy
Steroid hormones
Steroids
Supplementation
Supplements
Ultrasonic imaging
Ventilation
Ventilators
title Need for supplemental oxygen at discharge in infants with bronchopulmonary dysplasia is not associated with worse neurodevelopmental outcomes at 3 years corrected age
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