Respiratory function and symptoms in young preterm children in the contemporary era

Objective: To determine the relationships between respiratory symptoms, lung function, and neonatal events in young preterm children. Methods: Preterm children (<32 w gestation), classified as bronchopulmonary dysplasia (BPD) or non-BPD, and healthy term controls were studied. Lung function w...

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Main Authors: Verheggen, M., Wilson, A., Pillow, J., Stick, S., Hall, Graham
Format: Journal Article
Published: Wiley-Liss, Inc 2016
Online Access:http://hdl.handle.net/20.500.11937/54668
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author Verheggen, M.
Wilson, A.
Pillow, J.
Stick, S.
Hall, Graham
author_facet Verheggen, M.
Wilson, A.
Pillow, J.
Stick, S.
Hall, Graham
author_sort Verheggen, M.
building Curtin Institutional Repository
collection Online Access
description Objective: To determine the relationships between respiratory symptoms, lung function, and neonatal events in young preterm children. Methods: Preterm children (<32 w gestation), classified as bronchopulmonary dysplasia (BPD) or non-BPD, and healthy term controls were studied. Lung function was measured by forced oscillation technique (respiratory resistance [Rrs] and reactance [Xrs]) and spirometry. Respiratory symptom questionnaires were administered. Results: One hundred and fifty children (74 BPD, 44 non-BPD, 32 controls) 4–8 years were studied. Lung function (median Z-score [10,90th centile]) was significantly impaired in preterm children compared to controls for FVC (0.00 [-1.18, 1.76], 0.69 [-0.17,1.86]), FEV1 (-0.44 [-1.94, 1.11], 0.49 [-0.83, 2.51]), Xrs (-1.26 [-3.31, 0.11], -0.11 [-0.97, 0.73]), and Rrs (0.55 [-0.48, 1.82], 0.28 [-0.99, 0.96]). Only Xrs differed between the BPD and non-BPD (-1.51 [-3.59, -0.41], -0.89 [-2.64, 0.52]). The prevalence of recent respiratory symptoms (range: 32–36%) did not differ between BPD and non-BPD children. Supplemental O2 in hospital was positively associated with worsening Xrs and FEV1. Conclusion: Preterm children have worse lung function than healthy controls. Only respiratory reactance differentiated between preterm children with and without BPD and was influenced by days of O2 in hospital. Pediatr Pulmonol. 2016;51:1347–1355.
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spelling curtin-20.500.11937-546682017-09-29T07:07:32Z Respiratory function and symptoms in young preterm children in the contemporary era Verheggen, M. Wilson, A. Pillow, J. Stick, S. Hall, Graham Objective: To determine the relationships between respiratory symptoms, lung function, and neonatal events in young preterm children. Methods: Preterm children (<32 w gestation), classified as bronchopulmonary dysplasia (BPD) or non-BPD, and healthy term controls were studied. Lung function was measured by forced oscillation technique (respiratory resistance [Rrs] and reactance [Xrs]) and spirometry. Respiratory symptom questionnaires were administered. Results: One hundred and fifty children (74 BPD, 44 non-BPD, 32 controls) 4–8 years were studied. Lung function (median Z-score [10,90th centile]) was significantly impaired in preterm children compared to controls for FVC (0.00 [-1.18, 1.76], 0.69 [-0.17,1.86]), FEV1 (-0.44 [-1.94, 1.11], 0.49 [-0.83, 2.51]), Xrs (-1.26 [-3.31, 0.11], -0.11 [-0.97, 0.73]), and Rrs (0.55 [-0.48, 1.82], 0.28 [-0.99, 0.96]). Only Xrs differed between the BPD and non-BPD (-1.51 [-3.59, -0.41], -0.89 [-2.64, 0.52]). The prevalence of recent respiratory symptoms (range: 32–36%) did not differ between BPD and non-BPD children. Supplemental O2 in hospital was positively associated with worsening Xrs and FEV1. Conclusion: Preterm children have worse lung function than healthy controls. Only respiratory reactance differentiated between preterm children with and without BPD and was influenced by days of O2 in hospital. Pediatr Pulmonol. 2016;51:1347–1355. 2016 Journal Article http://hdl.handle.net/20.500.11937/54668 10.1002/ppul.23487 Wiley-Liss, Inc restricted
spellingShingle Verheggen, M.
Wilson, A.
Pillow, J.
Stick, S.
Hall, Graham
Respiratory function and symptoms in young preterm children in the contemporary era
title Respiratory function and symptoms in young preterm children in the contemporary era
title_full Respiratory function and symptoms in young preterm children in the contemporary era
title_fullStr Respiratory function and symptoms in young preterm children in the contemporary era
title_full_unstemmed Respiratory function and symptoms in young preterm children in the contemporary era
title_short Respiratory function and symptoms in young preterm children in the contemporary era
title_sort respiratory function and symptoms in young preterm children in the contemporary era
url http://hdl.handle.net/20.500.11937/54668