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Long-term follow-up of cardiorespiratory outcomes in children born extremely preterm: Recommendations from a Canadian

Sherri Lynne Katz1,2, Thuy Mai Luu3,4,5, Anne-Monique Nuyt6,7

  • 1Division of Respiratory Medicine, Department of Pediatrics, Children's Hospital of Eastern Ontario, Ottawa, Ontario.

Paediatrics & Child Health
|February 27, 2018
PubMed

Insights

Extremely preterm infants born before 28 weeks require standardized cardiorespiratory follow-up. This consensus workshop provides recommendations for optimal multidisciplinary care from discharge to childhood.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Cardiology

Background:

  • Bronchopulmonary dysplasia is a common complication in extremely preterm (EPT) infants, leading to long-term cardiorespiratory issues.
  • There is a lack of standardized guidelines for the multidisciplinary cardiorespiratory follow-up of EPT children.
  • EPT survivors face increased risks of emphysema and cardiac disease in early adulthood.

Purpose of the Study:

  • To develop standardized recommendations for the cardiorespiratory follow-up of EPT infants.
  • To improve and standardize multidisciplinary care from neonatal discharge through mid-childhood.
  • To identify key clinical outcomes and practical integration strategies for ambulatory care.

Main Methods:

  • A 2-day consensus workshop convened 31 Canadian multidisciplinary experts.
  • Discussions focused on optimizing cardiorespiratory follow-up for EPT infants.
  • Key clinical outcomes and integration into ambulatory clinics were explored.

Main Results:

  • Identification of the most relevant clinical outcomes for EPT cardiorespiratory follow-up.
  • Exploration of practical methods for integrating follow-up into existing clinics.
  • Consensus reached on recommendations for clinical care and research priorities.

Conclusions:

  • Standardized, multidisciplinary cardiorespiratory follow-up is crucial for EPT infants.
  • Recommendations aim to improve long-term outcomes and address sequelae like emphysema and cardiac disease.
  • Further research is needed to refine and validate follow-up protocols.

Keywords:
Bronchopulmonary dysplasiaEchocardiographyExercisePrematurityRespiratory function tests.

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