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Published on: August 25, 2014
Risks for common medical conditions experienced by former preterm infants during toddler years
Jordan S Kase1, Maria Pici, Paul Visintainer
1The Division of Newborn Medicine, The Department of Pediatrics, NYMC, Maria Fareri Children's Hospital at Westchester Medical Center, Valhalla, New York, USA. jordan_kase@nymc.edu
Insights
Reactive airway disease (RAD), eczema, and gastroesophageal reflux (GERD) are linked in former preterm infants. Newborn respiratory issues predict RAD and GERD, with RAD also associated with eczema.
Area of Science:
- Neonatal Medicine
- Pediatric Pulmonology
- Pediatric Gastroenterology
Background:
- Reactive airway disease (RAD), eczema, and gastroesophageal reflux (GERD) are common in infants.
- Understanding associations between these conditions and antenatal/neonatal factors is crucial for early intervention.
Purpose of the Study:
- To investigate the relationships between RAD, eczema, and GERD.
- To identify antenatal and neonatal variables associated with these conditions in former preterm infants.
Main Methods:
- Retrospective observational cohort study of 727 former preterm infants (<2 years old).
- Analysis of patient demographics, antenatal factors, and comorbidities of prematurity.
- Correlation of these factors with the incidence of RAD, eczema, and GERD.
Main Results:
- 12.8% had RAD, 10.5% eczema, and 26.7% GERD.
- RAD and GERD inversely correlated with gestational age.
- Newborn respiratory disease predicted RAD and GERD; RAD was associated with eczema.
Conclusions:
- RAD, eczema, and GERD are strongly associated in former preterm infants.
- Common underlying factors or exacerbation may explain these associations.
- Newborn respiratory problems are significant predictors of RAD and GERD.
Aims:
To identify associations between reactive airway disease (RAD), eczema, and gastroesophageal reflux (GERD) and antenatal/neonatal variables.
Methods:
This is a retrospective observational cohort analysis of former preterm (PT) infants evaluated at the Regional Neonatal Follow-up Program in the Lower Hudson Valley Region of New York. Subjects <2 years evaluated between January 2005 and December 2007 were included. Patient demographics, antenatal factors and co-morbidities of prematurity were correlated with each medical condition.
Results:
A total of 727 subjects were analyzed: 12.8% had RAD, 10.5% had eczema; and 26.7% had GERD. RAD and GERD correlated inversely with gestational age. RAD was more prevalent in singletons and African Americans; GERD in Caucasians; and eczema in singletons and males. Respiratory disease in the newborn period increased the incidence of RAD and GERD. Toddlers who had RAD were likely to have eczema or GERD; no association between GERD and eczema existed.
Conclusions:
These three medical conditions were strongly associated. Their association may be the result of a common element developing each condition, or due to one condition exacerbating another. Respiratory problems in the newborn were strong predictors of GERD and RAD.
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