Educational and health outcomes associated with bronchopulmonary dysplasia in 15-year-olds born preterm.

<h4>Introduction</h4>To evaluate the consequences of bronchopulmonary dysplasia (BPD) on academic outcomes and healthcare use in adolescents born very preterm.<h4>Methods</h4>This cohort study included 15-year-old adolescents born very preterm (< 32 weeks) between 2011 and...

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Bibliographic Details
Main Authors: David Drummond, Alice Hadchouel, Heloise Torchin, Jean-Christophe Rozé, Catherine Arnaud, Adèle Bellino, Laure Couderc, Stéphane Marret, Marie Mittaine, Didier Pinquier, Marie Vestraete, Jessica Rousseau, Pierre-Yves Ancel, Christophe Delacourt, EPIPAGEADO study group
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2019-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0222286
Description
Summary:<h4>Introduction</h4>To evaluate the consequences of bronchopulmonary dysplasia (BPD) on academic outcomes and healthcare use in adolescents born very preterm.<h4>Methods</h4>This cohort study included 15-year-old adolescents born very preterm (< 32 weeks) between 2011 and 2013, with and without BPD, and controls born full term. Data regarding academic performance, current medical follow-up, and family characteristics were collected. Multivariate logistic regression was used to quantify relationships between academic outcomes and BPD.<h4>Results</h4>From the 1341 children included in the initial cohort, 985 adolescents were eligible and 351 included (55 preterms with a history of BPD, 249 without, and 47 controls). Among adolescents born very preterm, a history of BPD was associated with a higher risk to attend a school for children with special needs (p < 0.05) and to have repeated a grade (p = 0.01). It was also associated with an increased number of medical and paramedical consultations. A history of BPD was not associated with the parents' employment status, family structure, or the presence of younger siblings.<h4>Conclusion</h4>This study highlights that a history of BPD is associated with poorer academic outcomes and high healthcare use in adolescence.
ISSN:1932-6203