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Characteristics of infants or children presenting to outpatient bronchopulmonary dysplasia clinics in the United States

Pediatric Pulmonology Mar 19, 2021

Collaco JM, Agarwal A, Austin ED, et al. - Since bronchopulmonary dysplasia (BPD) is a common respiratory sequelae of preterm birth, for which longitudinal outpatient data are scarce, researchers described a geographically diverse outpatient cohort of former preterm infants followed in BPD‐disease specific clinics. Preterm birth (< 37 weeks) and respiratory symptoms or needs requiring outpatient follow‐up were among the inclusion criteria. In total, 413 preterm infants and children were selected (mean age: 2.4 ± 2.7 years) with a mean gestational age of 27.0 ± 2.8 weeks and a mean birthweight of 951 ± 429 grams of whom 63.7% had severe BPD. This examination of a multicenter collaborative registry of prematurely born children with respiratory disease reveals a diversity of management strategies among geographically distinct tertiary care BPD centers in the United States. The majority of the children followed in these clinics were nonwhite, and neither variation in management nor severity of BPD at 36 weeks influenced outpatient acute care utilization. Such findings imply that post‐neonatal intensive care unit factors and follow‐up may influence respiratory outcomes in BPD, possibly independently of severity.

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