Behavior Profiles at 2 Years for Children Born Extremely Preterm with Bronchopulmonary Dysplasia

To characterize behavior of 2-year-old children based on the severity of bronchopulmonary dysplasia (BPD). We studied children born at 22-26 weeks of gestation and assessed at 22-26 months of corrected age with the Child Behavior Checklist (CBCL). BPD was classified by the level of respiratory suppo...

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Veröffentlicht in:	The Journal of pediatrics 2020-04, Vol.219, p.152-159.e5
Hauptverfasser:	Bell, Edward F., Grey, Scott F., Vohr, Betty R., Harmon, Heidi M., Logan, J. Wells, Colaizy, Tarah T., Peralta-Carcelen, Myriam A., McGowan, Elisabeth C., Stoll, Barbara J., Caplan, Michael S., Keszler, Martin, Hensman, Angelita M., Vieira, Elisa, Newman, Nancy S., Siner, Bonnie S., Pallotto, Eugenia K., Gauldin, Cheri, Holmes, Anne, Johnson, Kathy, Knutson, Allison, Schibler, Kurt, Gratton, Teresa L., Wuertz, Sandra, Adams-Chapman, Ira, Hale, Ellen C., Bottcher, Diane I., Goldberg, Ronald N., Goldstein, Ricki F., Malcolm, William F., Ashley, Patricia L., Finkle, Joanne, Bernhardt, Janice, Wilson Archer, Stephanie, Papile, Lu Ann, Hines, Abbey C., Gunn, Susan, Smiley, Lucy, Wright, Sharon L., Nelin, Leif D., Luzader, Patricia, Parikh, Nehal A., Newman, Jamie E., Leblond, David, Adams, Marian M., Huffman, Lynne C., Palmquist, Andrew W., Sankar, Meera N., Frantz, Ivan D., Fiascone, John M., Nylen, Ellen, Brussa, Ana K., Whitley, Sally, Garg, Meena, Vaucher, Yvonne E., Demetrio, Clarence, Rich, Wade, Hogden, Laurie A., Broadbent, Megan, Schmelzel, Mendi L., Walker, Jacky R., Watterberg, Kristi L., Ohls, Robin K., Backstrom Lacy, Conra, Fuller, Janell, Hanson, Mary Ruffner, Kuan, Elizabeth, Mancini, Toni, Bernbaum, Judy C., D'Angio, Carl T., Guillet, Ronnie, Lakshminrusimha, Satyan, Sacilowski, Michael G., Hunn, Julianne, Fallone, Cait, Vasil, Diana M., Chen, Lijun, De Leon, Maria M., Madden, Linda A., Sepulveda, Pollieanna, Faix, Roger G., Yoder, Bradley A., Baserga, Mariana, Bird, Karie, Burnett, Jill, Davis, Brandy, Elmont, Jennifer O., Jensen, Jennifer J., Loertscher, Manndi C., Maxson, Earl, Rau, Carrie A., Chawla, Sanjay, Bajaj, Monika, Johnson, Mary E., Wiggins, Stephanie A., Christensen, Mary K., Carlson, Martha, White, Diane F., Jacobs, Harris, Cervone, Patricia, Greisman, Sheila
Format:	Artikel
Sprache:	eng
Schlagworte:	bayley scales of infant and toddler development BPD Bronchopulmonary Dysplasia - complications Bronchopulmonary Dysplasia - psychology child behavior checklist Child, Preschool Cognition cognitive Female Humans Infant Behavior Infant, Extremely Premature Infant, Newborn infants born premature language Language Development Male motor Motor Skills Problem Behavior Prospective Studies Severity of Illness Index
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Zusammenfassung:	To characterize behavior of 2-year-old children based on the severity of bronchopulmonary dysplasia (BPD). We studied children born at 22-26 weeks of gestation and assessed at 22-26 months of corrected age with the Child Behavior Checklist (CBCL). BPD was classified by the level of respiratory support at 36 weeks of postmenstrual age. CBCL syndrome scales were the primary outcomes. The relationship between BPD grade and behavior was evaluated, adjusting for perinatal confounders. Mediation analysis was performed to evaluate whether cognitive, language, or motor skills mediated the effect of BPD grade on behavior. Of 2310 children, 1208 (52%) had no BPD, 806 (35%) had grade 1 BPD, 177 (8%) had grade 2 BPD, and 119 (5%) had grade 3 BPD. Withdrawn behavior (P
ISSN:	0022-3476 1097-6833
DOI:	10.1016/j.jpeds.2019.12.028