Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)

Purpose: To explore the lung function of bronchopulmonary dysplasia (BPD) in premature infants to guide clinical prevention, early diagnosis and treatment.Methods: Thirty infants with BPD at 4–36 months of corrected gestational age were enrolled and divided into mild BPD and moderate and severe BPD...

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Main Authors: Dandan Chen, Jing Chen, Ningxun Cui, Mingling Cui, Xiaoqian Chen, Xueping Zhu, Xiaoli Zhu
Format: Article
Language:English
Published: Frontiers Media S.A. 2020-01-01
Series:Frontiers in Pediatrics
Subjects:
Online Access:https://www.frontiersin.org/article/10.3389/fped.2019.00540/full
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author Dandan Chen
Jing Chen
Ningxun Cui
Mingling Cui
Xiaoqian Chen
Xueping Zhu
Xiaoli Zhu
author_facet Dandan Chen
Jing Chen
Ningxun Cui
Mingling Cui
Xiaoqian Chen
Xueping Zhu
Xiaoli Zhu
author_sort Dandan Chen
collection DOAJ
description Purpose: To explore the lung function of bronchopulmonary dysplasia (BPD) in premature infants to guide clinical prevention, early diagnosis and treatment.Methods: Thirty infants with BPD at 4–36 months of corrected gestational age were enrolled and divided into mild BPD and moderate and severe BPD groups. Thirty full-term healthy infants, and 30 non-BPD infants at 4–36 months of corrected gestational age were included as controls. Clinical information, including respiratory infections and re-hospitalization, was compared among these groups. Furthermore, lung function analysis was performed in the infants.Results: The upper respiratory tract infection rate and re-hospitalization rate were significantly higher in the infants with BPD than in the non-BPD infants. The tidal volume/kg, proportion of time to reach peak tidal expiratory flow/total expiratory time, tidal volume exhaled at peak tidal expiratory flow/total tidal volume in BPD group were significantly lower in the BPD group than those in non-BPD group. These values gradually decreased as the severity of BPD increased. The respiratory rate (RR) in BPD group was significantly higher than that in non-BPD group. As the severity of the BPD increased, slope of the descending branch of expiration of tidal breathing flow capacity ring (TBFVL) increased.Conclusion: There is a correlation between the severity of BPD and a poor prognosis of respiratory system. TBFVL can directly reflect the characteristics of Tidal Pulmonary Function in children with different degrees of BPD.
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spelling doaj.art-6b955ec55a924f2cbfcf144ca07b0efa2022-12-22T00:02:16ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-01-01710.3389/fped.2019.00540488890Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)Dandan Chen0Jing Chen1Ningxun Cui2Mingling Cui3Xiaoqian Chen4Xueping Zhu5Xiaoli Zhu6Department of Neonatology, Children's Hospital of Soochow University, Suzhou, ChinaDepartment of Neonatology, Children's Hospital of Soochow University, Suzhou, ChinaDepartment of Neonatology, Children's Hospital of Soochow University, Suzhou, ChinaDepartment of Neonatology, Children's Hospital of Soochow University, Suzhou, ChinaDepartment of Neonatology, Children's Hospital of Soochow University, Suzhou, ChinaDepartment of Neonatology, Children's Hospital of Soochow University, Suzhou, ChinaDepartment of Intervention, The First Affiliated Hospital of Soochow University, Suzhou, ChinaPurpose: To explore the lung function of bronchopulmonary dysplasia (BPD) in premature infants to guide clinical prevention, early diagnosis and treatment.Methods: Thirty infants with BPD at 4–36 months of corrected gestational age were enrolled and divided into mild BPD and moderate and severe BPD groups. Thirty full-term healthy infants, and 30 non-BPD infants at 4–36 months of corrected gestational age were included as controls. Clinical information, including respiratory infections and re-hospitalization, was compared among these groups. Furthermore, lung function analysis was performed in the infants.Results: The upper respiratory tract infection rate and re-hospitalization rate were significantly higher in the infants with BPD than in the non-BPD infants. The tidal volume/kg, proportion of time to reach peak tidal expiratory flow/total expiratory time, tidal volume exhaled at peak tidal expiratory flow/total tidal volume in BPD group were significantly lower in the BPD group than those in non-BPD group. These values gradually decreased as the severity of BPD increased. The respiratory rate (RR) in BPD group was significantly higher than that in non-BPD group. As the severity of the BPD increased, slope of the descending branch of expiration of tidal breathing flow capacity ring (TBFVL) increased.Conclusion: There is a correlation between the severity of BPD and a poor prognosis of respiratory system. TBFVL can directly reflect the characteristics of Tidal Pulmonary Function in children with different degrees of BPD.https://www.frontiersin.org/article/10.3389/fped.2019.00540/fullbronchopulmonary dysplasia (BPD)prognosispulmonary functiontidal breathing flow volume looprespiratory morbidity
spellingShingle Dandan Chen
Jing Chen
Ningxun Cui
Mingling Cui
Xiaoqian Chen
Xueping Zhu
Xiaoli Zhu
Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)
Frontiers in Pediatrics
bronchopulmonary dysplasia (BPD)
prognosis
pulmonary function
tidal breathing flow volume loop
respiratory morbidity
title Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)
title_full Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)
title_fullStr Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)
title_full_unstemmed Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)
title_short Respiratory Morbidity and Lung Function Analysis During the First 36 Months of Life in Infants With Bronchopulmonary Dysplasia (BPD)
title_sort respiratory morbidity and lung function analysis during the first 36 months of life in infants with bronchopulmonary dysplasia bpd
topic bronchopulmonary dysplasia (BPD)
prognosis
pulmonary function
tidal breathing flow volume loop
respiratory morbidity
url https://www.frontiersin.org/article/10.3389/fped.2019.00540/full
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