Perinatal factors associated with long-term respiratory sequelae in extremely low birthweight infants

Archives of Disease in Childhood. Fetal and Neonatal Edition
Katsuya HirataMasanori Fujimura

Abstract

To assess lung function at 8 years old in extremely low birthweight (ELBW) survivors and to identify perinatal determinants associated with impaired lung function. Retrospective cohort study. Level III neonatal intensive care unit. ELBW survivors born in 1990-2004 with available spirometry at 8 years old were studied. Children were excluded if they had a Wechsler Intelligence Scale for Children Third Edition full IQ <70. Multivariate logistic regression analysis was used to identify perinatal determinants associated with airway obstruction (forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) ratio <80%) at school age and the predictive power of potential determinants. Potential risk factors and predictors assessed in this study were gestational age, birth weight, small for gestational age, sex, chorioamnionitis, premature rupture of membranes, antenatal steroids, surfactant administration, respiratory distress syndrome, postnatal steroids, severe bronchopulmonary dysplasia and bubbly/cystic appearances of the lungs by X-ray during the neonatal period. Of 656 ELBW survivors, 301 (45.9%) had attended a school-age follow-up at 8 years old. A total of 201 eligible children completed the lung function test. Bubbly/cys...Continue Reading

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Citations

Dec 31, 2015·Pediatrics International : Official Journal of the Japan Pediatric Society·Fumihiko NambaMasanori Tamura
Apr 10, 2016·Archives of Disease in Childhood. Fetal and Neonatal Edition·Tomohiko NakamuraUNKNOWN and The Neonatal Research Network, Japan
Jan 27, 2017·Pediatric Pulmonology·Katsuya HirataMasanori Fujimura
Jan 14, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Hirokazu AraiUNKNOWN Neonatal Research Network of Japan
Jun 7, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Machiko MoritaFumihiko Namba
May 24, 2020·Journal of Clinical Medicine·Luca BonadiesEugenio Baraldi
Mar 21, 2017·Pediatrics International : Official Journal of the Japan Pediatric Society·Katsuya HirataHiroyuki Kitajima
Oct 20, 2020·Frontiers in Pediatrics·Hung-Yang ChangChun-Chih Peng

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