Characteristics of Infants or Children with Bronchopulmonary
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Bronchopulmonary dysplasia (BPD) is a common respiratory sequelae of preterm birth. The objective was to describe a geographically diverse outpatient cohort of former preterm infants followed in BPD disease specific clinics.

This retrospective cohort analysis included data from 7 BPD specialty clinics that used standardized instruments. Preterm birth (less than 37 weeks) and respiratory problems or needs requiring outpatient follow-up were among the inclusion requirements.

Results:
--A total of 413 preterm infants and children were recruited with a mean gestational age of 27.0±2.8 weeks and a mean birthweight of 951±429 grams of whom 63.7% had severe BPD.

--Total, 51.1% of subjects were nonwhite. Severe BPD was not associated with greater utilization of acute care/therapies compared to non severe counterparts.

--Of children with severe BPD, differences in percentage of those on any home respiratory support, home positive pressure ventilation, diuretics, inhaled corticosteroids, and pulmonary vasodilators were found between centers, however no differences in acute care use were observed.

Finally, this analysis of a multicenter collaborative registry of prematurely born children with respiratory disease shows a wide range of management strategies across geographically diverse tertiary care BPD centers. The majority of children followed in these clinics were nonwhite, and neither difference in management nor severity of BPD at 36 weeks had an effect on outpatient acute care utilization, according to this report. These findings indicate that factors and follow-up in the postneonatal intensive care unit can influence respiratory outcomes in BPD, likely independently of severity.

Source: https://onlinelibrary.wiley.com/doi/10.1002/ppul.25332?af=R
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