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Bronchopulmonary dysplasia outpatient

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https://www.readbyqxmd.com/read/29974208/neonatal-hypertension-an-educational-review
#1
Matthew W Harer, Alison L Kent
Hypertension is encountered in up to 3% of neonates and occurs more frequently in neonates requiring hospitalization in the neonatal intensive care unit (NICU) than in neonates in newborn nurseries or outpatient clinics. Former NICU neonates are at higher risk of hypertension secondary to invasive procedures and disease-related comorbidities. Accurate measurement of blood pressure (BP) remains challenging, but new standardized methods result in less measurement error. Multiple factors contribute to the rapidly changing BP of a neonate: gestational age, postmenstrual age (PMA), birth weight, and maternal factors are the most significant contributors...
July 5, 2018: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
https://www.readbyqxmd.com/read/29880793/predictors-of-length-of-stay-for-initial-hospitalization-in-infants-with-bronchopulmonary-dysplasia
#2
Christopher B Morrow, Sharon A McGrath-Morrow, Joseph M Collaco
OBJECTIVE: Longer initial hospitalizations for preterm infants with bronchopulmonary dysplasia (BPD) can delay family bonding and attainment of developmental milestones, increase the risk for hospital acquired complications, and increase healthcare costs. The goal of the study was to identify the characteristics associated with longer lengths of hospitalization in this high-risk population. STUDY DESIGN: A retrospective analysis was performed on 660 children (born ≤32 weeks gestation) discharged from 13 Maryland NICUs recruited into an outpatient BPD registry...
June 8, 2018: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/27588933/dolichocephaly-in-preterm-infants-prevalence-risk-factors-and-early-motor-outcomes
#3
Dana B McCarty, Jennifer R Peat, William F Malcolm, P Brian Smith, Kimberley Fisher, Ricki F Goldstein
Objective  The purpose of this study was to determine when dolichocephaly develops in preterm infants, to establish factors that contribute to its development, and to determine its association with adverse motor outcomes. Study Design  This study was a retrospective review of data collected from preterm infants born at < 32 weeks' gestation. The cranial index was measured by a physical therapist (PT) at three time points during hospitalization. Demographic data, neonatal morbidities, and motor outcomes at outpatient follow-up were collected...
March 2017: American Journal of Perinatology
https://www.readbyqxmd.com/read/27097362/neonatal-sepsis-and-neurodevelopment-in-very-low-birth-weight-infants-in-matanzas-cuba-2006-2010-a-prospective-cohort-study
#4
Gerardo Rogelio Robaina Castellanos, Solangel de la Caridad Riesgo Rodríguez
INTRODUCTION: Neonatal sepsis has been associated with poor neurodevelopmental outcome in very low birth weight infants (VLBW infants). The impact of neonatal sepsis on neurodevelopment in very low birth weight infants discharged from Cuban neonatal intensive care units is unknown. OBJECTIVE: To determine the impact of neonatal sepsis as a risk factor of neurodevelopmental disorders in a Cuban very low birth weight infants’ population. METHODS: A cohort study was carried out that enrolled 89 infants with birth weight less than 1500 g who were admitted during the period 2006-2010 to the Teaching Provincial Gynecological and Obstetrical Hospital of Matanzas...
April 7, 2016: Medwave
https://www.readbyqxmd.com/read/27093064/oxygen-weaning-after-hospital-discharge-in-children-with-bronchopulmonary-dysplasia
#5
Jennifer Yeh, Sharon A McGrath-Morrow, Joseph M Collaco
BACKGROUND: In the United States, approximately 12,000 preterm infants are diagnosed with bronchopulmonary dysplasia (BPD) and many of these infants require supplemental oxygen after initial hospital discharge. In children with BPD we sought to identify factors associated with supplemental oxygen use after initial hospital discharge, factors associated with duration of supplemental oxygen use, and methods used to wean off supplemental oxygen in the home environment. METHODS: All subjects (n = 420) with the diagnosis of BPD were recruited from a single center Bronchopulmonary Dysplasia Clinic between 2008 and 2013...
November 2016: Pediatric Pulmonology
https://www.readbyqxmd.com/read/25647675/hair-nicotine-levels-in-children-with-bronchopulmonary-dysplasia
#6
Joseph M Collaco, Angela D Aherrera, Patrick N Breysse, Jonathan P Winickoff, Jonathan D Klein, Sharon A McGrath-Morrow
BACKGROUND: Tobacco smoke exposure (TSE) may increase respiratory morbidities in young children with bronchopulmonary dysplasia (BPD). Rapid respiratory rates, close proximity to a smoking caregiver, and increased dermal absorption of tobacco smoke components can contribute to systemic exposure. In this study, hair nicotine levels were used as a biomarker of chronic TSE in young children with BPD to determine if hair nicotine levels correlate with caregiver self-report of TSE and respiratory morbidities...
March 2015: Pediatrics
https://www.readbyqxmd.com/read/25515808/clinical-characteristics-and-risk-factors-of-severe-respiratory-syncytial-virus-associated-acute-lower-respiratory-tract-infections-in-hospitalized-infants
#7
Xiao-Bo Zhang, Li-Juan Liu, Li-Ling Qian, Gao-Li Jiang, Chuan-Kai Wang, Pin Jia, Peng Shi, Jin Xu, Li-Bo Wang
BACKGROUND: To investigate the clinical characteristics and analyze risk factors for severe respiratory syncytial virus (RSV) infection in hospitalized infants with acute lower respiratory tract infections (ALRIs). METHODS: A retrospective review of the medical records of infants with RSV-associated ALRIs between March 1st, 2011 and February 29th, 2012 was conducted. Subjects were followed up over the phone or by outpatient visit six and twelve months after discharge...
November 2014: World Journal of Pediatrics: WJP
https://www.readbyqxmd.com/read/25483483/a-population-weighted-condition-adjusted-estimate-of-palivizumab-efficacy-in-preventing-rsv-related-hospitalizations-among-us-high-risk-children
#8
RANDOMIZED CONTROLLED TRIAL
Christopher S Ambrose, Xin Chen, Veena R Kumar
Preterm infants ≤ 35 weeks' gestational age (GA), and children ≤ 24 months of age with bronchopulmonary dysplasia (BPD) or hemodynamically significant congenital heart disease (hsCHD) are at high risk for developing severe respiratory syncytial virus (RSV) disease. In 3 previous randomized, placebo-controlled trials, palivizumab efficacy varied significantly based on these underlying conditions, and trial enrollment was not proportional to condition prevalence. This analysis provides the first estimate of the population-weighted efficacy of palivizumab in high-risk children, adjusting for condition prevalence...
2014: Human Vaccines & Immunotherapeutics
https://www.readbyqxmd.com/read/25344148/inter-society-consensus-document-on-treatment-and-prevention-of-bronchiolitis-in-newborns-and-infants
#9
Eugenio Baraldi, Marcello Lanari, Paolo Manzoni, Giovanni A Rossi, Silvia Vandini, Alessandro Rimini, Costantino Romagnoli, Pierluigi Colonna, Andrea Biondi, Paolo Biban, Giampietro Chiamenti, Roberto Bernardini, Marina Picca, Marco Cappa, Giuseppe Magazzù, Carlo Catassi, Antonio Francesco Urbino, Luigi Memo, Gianpaolo Donzelli, Carlo Minetti, Francesco Paravati, Giuseppe Di Mauro, Filippo Festini, Susanna Esposito, Giovanni Corsello
Acute bronchiolitis is the leading cause of lower respiratory tract infection and hospitalization in children less than 1 year of age worldwide. It is usually a mild disease, but some children may develop severe symptoms, requiring hospital admission and ventilatory support in the ICU. Infants with pre-existing risk factors (prematurity, bronchopulmonary dysplasia, congenital heart diseases and immunodeficiency) may be predisposed to a severe form of the disease. Clinical diagnosis of bronchiolitis is manly based on medical history and physical examination (rhinorrhea, cough, crackles, wheezing and signs of respiratory distress)...
October 24, 2014: Italian Journal of Pediatrics
https://www.readbyqxmd.com/read/25102322/the-influence-of-small-for-gestational-age-status-on-outpatient-bronchopulmonary-dysplasia-outcomes
#10
COMPARATIVE STUDY
J Johnson, T Ryan, A D Aherrera, S A McGrath-Morrow, J M Collaco
OBJECTIVE: To describe the characteristics of small for gestational age (SGA) and non-SGA infants with bronchopulmonary dysplasia (BPD) and to ascertain whether respiratory outcomes and health-care utilization patterns in these two populations differ. STUDY DESIGN: Three hundred and twenty-five infants with BPD born at <32 weeks gestation were recruited in the outpatient setting. Sociodemographic data and indicators of respiratory morbidity were collected via questionnaire and retrospective chart review...
January 2015: Journal of Perinatology: Official Journal of the California Perinatal Association
https://www.readbyqxmd.com/read/24039081/respiratory-outcomes-of-children-with-bpd-and-gastrostomy-tubes-during-the-first-2-years-of-life
#11
Sharon A McGrath-Morrow, Madoka Hayashi, Angela D Aherrera, Joseph M Collaco
OBJECTIVES: Infants with bronchopulmonary dysplasia (BPD) often undergo gastrostomy tube (GT) placement and/or Nissen fundoplication (Nissen) to improve weight gain and to attenuate chronic respiratory symptoms related to feeding difficulties. After initial hospitalization little is known how these children do with regard to respiratory symptoms when compared to children with BPD who did not receive GTs. This study was done to determine if differences in respiratory outcomes were associated with the presence of a GT or Nissen/GT in children with BPD during the first 2 years of life...
June 2014: Pediatric Pulmonology
https://www.readbyqxmd.com/read/23804596/secondhand-smoke-exposure-in-preterm-infants-with-bronchopulmonary-dysplasia
#12
Joseph M Collaco, Angela D Aherrera, Timothy Ryan, Sharon A McGrath-Morrow
OBJECTIVES: Preterm infants and children with bronchopulmonary dysplasia (BPD) often experience significant respiratory morbidities during the first two years of life. Second hand smoke (SHS) has been demonstrated to lead to respiratory morbidities in the general population. The objectives of this study were to assess the prevalence/impact of SHS on preterm infants and children with BPD. METHODS: Subjects (n = 352) were recruited from the Johns Hopkins BPD outpatient clinic between January 2008 and August 2012...
February 2014: Pediatric Pulmonology
https://www.readbyqxmd.com/read/23782528/persistent-recurring-wheezing-in-the-fifth-year-of-life-after-laboratory-confirmed-medically-attended-respiratory-syncytial-virus-infection-in-infancy
#13
Gabriel J Escobar, Anthony S Masaquel, Sherian X Li, Eileen M Walsh, Patricia Kipnis
BACKGROUND: Respiratory syncytial virus (RSV) infection in infancy is associated with subsequent recurrent wheezing. METHODS: A retrospective cohort study examined children born at ≥32 weeks gestation between 1996-2004. All children were enrolled in an integrated health care delivery system in Northern California and were followed through the fifth year of life. The primary endpoint was recurrent wheezing in the fifth year of life and its association with laboratory-confirmed, medically-attended RSV infection during the first year, prematurity, and supplemental oxygen during birth hospitalization...
2013: BMC Pediatrics
https://www.readbyqxmd.com/read/23780479/postoperative-apnea-after-inguinal-hernia-repair-in-formerly-premature-infants-impacts-of-gestational-age-postconceptional-age-and-comorbidities
#14
Tunç Ozdemir, Ahmet Arıkan
PURPOSE: It is common practice for premature infants undergoing elective inguinal hernia (IH) repair to be hospitalized for postoperative apnea monitoring. This study evaluated the risk of apnea after IH repair with regard to gestational age (GA) and postconceptional age (PCA) in formerly premature infants. METHODS: Formerly premature infants who had undergone elective IH repair between 01/2000 and 12/2012 were reviewed retrospectively in terms of GA, PCA, body weight, and comorbidities...
August 2013: Pediatric Surgery International
https://www.readbyqxmd.com/read/23396781/50-years-of-pediatric-pulmonology-progress-and-future
#15
S K Kabra, Rakesh Lodha, Poonam Mehta
Development of Pediatric Pulmonology as a speciality in India is steadily improving over past few decades. Present profile of Indian pediatric chest services include: asthma, recurrent infections, bronchiectasis, etc. It is expected to change and the emerging pulmonary illnesses include: human immunodeficiency virus (HIV infection) associated pulmonary illnesses, cystic fibrosis, primary ciliary dyskinesia, bronchopulmonary dysplasia, interstitial lung diseases, gastroesophageal reflux diseases, neuromuscular illnesses, sleep disorders, disorders due to malformations and opportunistic pulmonary infections...
January 8, 2013: Indian Pediatrics
https://www.readbyqxmd.com/read/23172131/neurodevelopmental-assessment-of-very-low-birth-weight-preterm-infants-at-corrected-age-of-18-24-months-by-bayley-iii-scales
#16
Luciana Volpiano Fernandes, Ana Lucia Goulart, Amélia Miyashiro Nunes dos Santos, Marina Carvalho Moraes Barros, Camila Campos Guerra, Benjamin Israel Kopelman
OBJECTIVE: To evaluate the prevalence of delay and factors associated with neurodevelopmental scores in premature infants. METHODS: Cross-sectional study to assess the development by Bayley Scales III, including very low birth weight preterm infants aged 18 to 24 months who were under follow-up at the outpatient clinic for preterm infants. Congenital malformation, genetic syndrome, symptomatic congenital infection at birth, deafness, and blindness were excluded...
November 2012: Jornal de Pediatria
https://www.readbyqxmd.com/read/23129398/the-impact-of-bronchopulmonary-dysplasia-on-caregiver-health-related-quality-of-life-during-the-first-2-years-of-life
#17
Sharon A McGrath-Morrow, Timothy Ryan, Kristin Riekert, Maureen A Lefton-Greif, Michelle Eakin, Joseph M Collaco
OBJECTIVES: Preterm children with bronchopulmonary dysplasia (BPD) frequently require complex home medical regimens and re-hospitalization during the first 2 years of life. The burden of caring for these medically complex children may negatively affect caregiver health related quality of life (HRQoL). The objectives of this study were to measure caregiver HRQoL of children with BPD and to identify factors that impact caregiver HRQoL during the first 2 years of life. METHODS: Children (n = 186) were recruited from the Johns Hopkins BPD Outpatient Clinic between January 2008 and July 2011...
June 2013: Pediatric Pulmonology
https://www.readbyqxmd.com/read/22891185/health-care-utilization-by-preterm-infants-with-respiratory-complications-in-quebec
#18
Jennifer Sophie Landry, Dan Croitoru, Yulan Jin, Kevin Schwartzman, Andrea Benedetti, Dick Menzies
INTRODUCTION: Despite notable advances in prenatal and neonatal care, respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) remain important complications of preterm births, and their long-term sequelae are poorly understood. OBJECTIVE: To describe health care utilization and costs over a 16- to 25-year follow-up period in a cohort of preterm infants with respiratory complications. METHODS: Using provincial health administrative databases from Quebec, a cohort of individuals who were born prematurely with complications of RDS and⁄or BPD between 1983 and 1992 were identified...
July 2012: Canadian Respiratory Journal: Journal of the Canadian Thoracic Society
https://www.readbyqxmd.com/read/22849902/on-the-limit-of-viability-extremely-low-gestational-age-at-birth
#19
Gustavo Rocha, Hercília Guimarães
BACKGROUND: Survival is not an adequate measure of success when managing preterm infants < 24 weeks gestational age (GA). OBJECTIVE: To evaluate neonatal morbidity, survival rate and outcome of preterm infants < 24 weeks GA at birth, in our Neonatal Intensive Care Unit. MATERIAL AND METHODS: Retrospective chart review, 1996-2009. Collected data included neonatal morbidity and mortality, follow-up at the outpatient department regarding to medical problems and neurodevelopmental and behavioural outcomes...
December 2011: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/22529025/definition-and-outpatient-management-of-the-very-low-birth-weight-infant-with-bronchopulmonary-dysplasia
#20
REVIEW
Jessie R Groothuis, Doris Makari
Bronchopulmonary dysplasia (BPD), also known as chronic lung disease of prematurity, is the major cause of pulmonary disease in infants. The pathophysiology and management of BPD have evolved over the past four decades as improved neonatal intensive care unit (NICU) modalities have increased survival rates. The likelihood for developing BPD increases with the degree of prematurity and reaches 25-35% in very low-birth-weight and extremely low-birth-weight infants. BPD affects many organ systems, and infants with BPD are at increased risk for rehospitalization and numerous complications following NICU discharge...
April 2012: Advances in Therapy
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