Journal
JOURNAL OF PERINATOLOGY
Volume 33, Issue 7, Pages 543-547Publisher
NATURE PUBLISHING GROUP
DOI: 10.1038/jp.2012.170
Keywords
bronchopulmonary dysplasia; chronic lung disease; prematurity; pulmonary hypertension
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OBJECTIVE: To assess health-care utilization and risk of respiratory morbidities in preterm infants with bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH). STUDY DESIGN: Retrospective data were obtained from subjects (n = 109) attending a BPD clinic. Subjects were stratified by the presence or absence of PH before and after 2 months of age. Analytic methods included t-tests, chi(2) tests and regression. RESULT: Subjects with BPD and PH present after 2 months of age were hospitalized for 2.2 months longer than those without PH (P = 0.02). These subjects were 4.5 times more likely to receive home supplemental oxygen or mechanical ventilation (P = 0.03). No difference in the risk of respiratory morbidities after initial hospital discharge was seen with PH. CONCLUSION: PH in preterm infants is associated with longer initial hospitalizations and a higher likelihood of requiring home respiratory support. This has implications for counseling families and reducing the medical, psychosocial, and economic burden of BPD and PH.
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