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Published on: November 20, 2015
Effect of bronchopulmonary dysplasia on early intellectual development in preterm infants
Fatao Lin1, Haipeng Dong2, Yanyan Song1
1Department of Neonatology, Guangzhou Women and Children's Medical Center, Guangzhou Medical University, Guangzhou, China.
Insights
Bronchopulmonary dysplasia (BPD) significantly impacts preterm infants' early intellectual development. Close monitoring of the nervous system is crucial for these vulnerable infants to address developmental delays.
Area of Science:
- Neonatal Development
- Pediatric Neurology
- Respiratory Medicine
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting preterm infants.
- Preterm infants are at higher risk for neurodevelopmental challenges.
- The impact of BPD on early intellectual development requires further investigation.
Purpose of the Study:
- To investigate the effect of bronchopulmonary dysplasia (BPD) on the early intellectual development of preterm infants.
- To compare neurodevelopmental outcomes between preterm infants with and without BPD, and healthy term infants.
Main Methods:
- Recruited 83 preterm infants with BPD, 89 preterm infants without BPD, and 98 healthy term infants.
- Evaluated neural and intellectual development using the Gesell Development Scale at multiple time points.
- Utilized multivariate logistic regression to identify associations between BPD and neurological outcomes.
Main Results:
- Preterm infants showed lower developmental quotients compared to term infants across multiple skill domains.
- Preterm infants with BPD exhibited more frequent neurodevelopmental deficits than those without BPD.
- BPD was independently associated with adverse neurological outcomes at 9-12 months adjusted age.
Conclusions:
- Early intelligence disturbances are significantly more common in infants with BPD.
- Enhanced monitoring of nervous system development is recommended for infants with BPD.
Background:
The aim of this study was to investigate the effect of bronchopulmonary dysplasia (BPD) on the early intellectual development of preterm infants.
Methods:
From 2011 to 2015, 83 preterm infants diagnosed with BPD were recruited to the BPD group, and 89 preterm infants without BPD and 98 healthy term infants were randomly recruited to the non-BPD and term group, respectively. Neural and intellectual development according to the Gesell Development Scale were evaluated and compared between groups at 0-3 months, 3-6 months, 6-9 months, and 9-12 months of adjusted age for preterm infants and real age for term infants. Multivariate logistic regression was used to determine the associations between BPD and adverse neurological outcomes at 9-12 months of adjusted age.
Results:
Compared with term infants, preterm infants had significantly lower developmental quotients for adaptability, gross motor, fine motor, language and social skills. At follow up, deficits in one or more neurofunctions related to adaptability, gross motor, fine motor, language and social skills were significantly more frequent in preterm children with BPD than in those with no history of BPD. BPD was independently associated with adverse neurological outcome at 9-12 months of adjusted age in preterm infants.
Conclusions:
Early intelligence disturbances occurred significantly more frequently in BPD infants than in non-BPD infants. Monitoring of the development of the nervous system in BPD infants should be strengthened.
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