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Childhood outcomes following discharge from a referral bronchopulmonary dysplasia program

Katharine P Callahan1,2,3, Kathryn Farrell4, Kathleen Gibbs5,4

  • 1Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, USA. callahankp@chop.edu.

Journal of Perinatology : Official Journal of the California Perinatal Association
|June 27, 2024
PubMed

Insights

Children with severe bronchopulmonary dysplasia (BPD) face significant health and developmental challenges. These morbidities impact quality of life, with developmental issues becoming more prominent over time.

Area of Science:

  • Pediatric Pulmonology
  • Neonatology
  • Child Development

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease in infants.
  • Severe BPD requires specialized quaternary care.
  • Long-term outcomes for severe BPD are not fully understood.

Purpose of the Study:

  • To profile health, development, and quality of life in children with severe BPD.
  • To assess outcomes for children discharged from a quaternary BPD referral program.
  • To identify correlations between morbidities and quality of life.

Main Methods:

  • Cross-sectional study design.
  • Telephone interviews with 282 families.
  • Children aged 18 months to 11 years with severe BPD.

Main Results:

  • Respiratory morbidities were prevalent; 42% required tracheostomy.
  • Developmental morbidities were significant, with 97% needing individualized educational plans.
  • Health and quality of life correlated with respiratory morbidity severity; developmental issues worsened over time.

Conclusions:

  • Children referred to quaternary BPD programs experience severe respiratory and developmental morbidities.
  • Outcomes suggest a greater burden of disease than previously reported.
  • Developmental morbidities increasingly impact quality of life in this population.
Abstract

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