Family history of asthma influences outpatient respiratory o
Preterm children with bronchopulmonary dysplasia (BPD) are at increased risk for intermittent and chronic respiratory symptoms during childhood and adult life. Identifying children at higher risk for respiratory morbidities in the outpatient setting could help improve long-term outcomes. Researchers hypothesized that a family history of asthma (FHA) is a risk factor for higher acute care usage and respiratory symptoms in preterm infants/children with BPD, following initial discharge home.

Surveys were administered to caregivers and demographics and clinical characteristics were obtained through chart review.

Results:
--Demographic features associated with FHA included public health insurance, lower median household income, and nonwhite race.

--Children with FHA had higher odds of emergency department (ED) visits, systemic steroid use, nighttime respiratory symptoms, and activity limitations.

--There was no association between FHA and BPD severity.

Conclusively, children with BPD and FHA were more likely to develop respiratory symptoms and use acute care during their first three years of life, and FHA was connected with poorer socioeconomic level. Although there was no correlation between FHA and BPD severity, FHA could predict both ED visits and the requirement for systemic steroids in infants/children with BPD who were followed in the outpatient environment.

Source: https://onlinelibrary.wiley.com/doi/10.1002/ppul.25603?af=R
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