Respiratory outcomes of "new" bronchopulmonary dysplasia in adolescents: A multicenter study

Santiago Pérez-Tarazona1, Santiago Rueda Esteban2, Maria L García-García3

  • 1Division of Neonatology, La Fe University and Polytechnic Hospital, Valencia, Spain.

Pediatric Pulmonology
|December 14, 2020
PubMed

Insights

Adolescents with "new" bronchopulmonary dysplasia (BPD) born extremely preterm show poorer lung function. This study evaluated respiratory outcomes in adolescents with BPD, highlighting potential long-term impacts.

Area of Science:

  • Pediatric Pulmonology
  • Neonatology
  • Respiratory Medicine

Background:

  • Long-term respiratory outcomes of "new" bronchopulmonary dysplasia (BPD) in preterm infants are not fully understood.
  • Bronchopulmonary dysplasia is a chronic lung disease affecting preterm infants, with evolving characteristics in the post-surfactant era.

Purpose of the Study:

  • To evaluate the respiratory outcomes in adolescents with "new" BPD born preterm.
  • To compare pulmonary function between extremely preterm (EP) adolescents with and without BPD, and moderate-late preterm adolescents.

Main Methods:

  • A multicenter, cross-sectional study of 286 adolescents born between 2003-2005.
  • Participants included extremely preterm (EP; <28 weeks) and moderate-late preterm infants, with subgroups of EP adolescents with and without BPD.
  • Lung function tests, skin prick testing, and questionnaires on asthma and quality of life were administered.

Main Results:

  • EP adolescents with BPD exhibited significantly lower FEV1, FVC, FEV1/FVC ratio, and FEF25-75% compared to other groups.
  • Higher bronchodilator response and air-trapping were observed in BPD adolescents.
  • Diffusion capacity was lower in EP adolescents compared to moderate-late preterm adolescents, but asthma symptoms and quality of life were similar across groups.

Conclusions:

  • "New" BPD in extremely preterm adolescents is associated with poorer pulmonary function.
  • Further research is necessary to determine if "new" BPD predicts adult-onset chronic obstructive pulmonary disease (COPD).
Abstract

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