Bronchial hyper-responsiveness in preterm-born subjects: A systematic review and meta-analysis

Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology
Sailesh KotechaSarah J Kotecha

Abstract

Preterm-born survivors have increased respiratory symptoms and decreased lung function, but the nature of bronchial hyper-responsiveness (BHR) is unclear. We conducted a systematic review and meta-analysis for BHR in preterm-born survivors including those with and without chronic lung disease in infancy (CLD) comparing results to term-born subjects. We searched eight databases up to December 2016. Included articles compared BHR in preterm-born and term-born subjects. Studies reporting BHR as decreases in forced expiratory volume in 1 second (FEV1 ) after provocation stimuli were included. The analysis used Review Manager V5.3. From 10 638 titles, 265 full articles were screened, and 28 included in a descriptive analysis. Eighteen articles were included in a meta-analysis as they reported the proportion of subjects who had BHR. Pooled odds ratio (OR) estimates (95% confidence interval) for BHR comparing the preterm and term-born groups was 1.88 (1.32, 2.66). The majority of the studies reported BHR after a methacholine challenge or an exercise test. Odds ratio was 1.89 (1.12, 3.19) after methacholine challenge and 2.59 (1.50, 4.50) after an exercise test. Nine of fifteen articles reporting BHR in CLD subjects were included in a ...Continue Reading

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Citations

Jan 30, 2019·Pediatric Pulmonology·Christopher W CourseSarah J Kotecha
Aug 11, 2020·FASEB Journal : Official Publication of the Federation of American Societies for Experimental Biology·Colleen M BartmanChristina Pabelick
Jan 4, 2020·Pediatric Allergy and Immunology : Official Publication of the European Society of Pediatric Allergy and Immunology·Philippe Eigenmann
Mar 4, 2021·Pediatric Pulmonology·Yoav LittnerAmir Kugelman
Feb 28, 2021·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Michelle M KellyPatricia B Griffith
Jul 15, 2020·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Michelle M Kelly, Patricia B Griffith
Jul 11, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Jenny K KooAnup C Katheria
Jul 30, 2021·ERJ Open Research·Michael Fayon, Fabien Beaufils

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