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Updated: Jul 30, 2025

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The Optimal State Scoring Tool: guidance for interdisciplinary care of infants with severe bronchopulmonary dysplasia

Jennifer Curtiss1, Pamela Griffiths2, Kevin G Stephenson3

  • 1Department of Clinical Nutrition & Lactation, Nationwide Children's Hospital, Columbus, OH, USA. Jennifer.curtiss@nationwidechildrens.org.

Journal of Perinatology : Official Journal of the California Perinatal Association
|May 15, 2023
PubMed

Insights

The Optimal State Scoring Tool (OSST) shows promise for monitoring clinical improvement in infants with severe bronchopulmonary dysplasia (sBPD). Higher OSST scores correlated with better linear growth in these complex patients.

Area of Science:

  • Pediatrics
  • Neonatology
  • Pulmonology

Background:

  • Infants with severe bronchopulmonary dysplasia (sBPD) experience complex medical challenges.
  • Assessing clinical improvement in sBPD requires reliable measurement tools.

Purpose of the Study:

  • To develop and investigate the preliminary validity of the clinician-rated Optimal State Scoring Tool (OSST).
  • To assess the OSST's ability to measure factors relevant to clinical improvement in sBPD.

Main Methods:

  • The OSST was developed and pilot-tested on 13 infants with sBPD.
  • Longitudinal data on OSST scores, linear growth, and steroid dependency were collected.
  • Linear mixed-effect models were used to analyze changes in OSST scores and length.

Main Results:

  • OSST scores demonstrated a significant positive correlation with linear growth in sBPD patients.
  • Infants dependent on steroids exhibited slower linear growth and a slower increase in OSST scores.
  • The OSST showed the largest effect size in differentiating between steroid-dependent and non-steroid-dependent groups.

Conclusions:

  • Preliminary data suggest the OSST has construct validity for monitoring clinical outcomes in sBPD.
  • The OSST may serve as a valuable tool for tracking the progress of infants with severe bronchopulmonary dysplasia.
Abstract

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