Is Chronic Lung Disease in Low Birth Weight Infants Preventable? A Survey of Eight Centers
1 From Brigham and Women's Hospital, Boston; University of California, San Francisco; National Heart, Lung, and Blood Institute, Bethesda; Mt Sinai Hospital, Toronto; Vanderbilt University, Nashville, TN; Baylor University, Houston; University of Washington, Seattle; Columbia Presbyterian Medical Center, New York; and Southwestern Medical School, Dallas
Chronic lung disease in prematurely born infants, defined as the need for increased inspired oxygen at 28 days of age, was thought to be more common in some institutions than in others. To test this hypothesis, we surveyed the experience in the intensive care nurseries at Columbia and Vanderbilt Universities, the Universities of Texas at Dallas, Washington at Seattle, and California at San Francisco, the Brigham and Women's Hospital in Boston, Texas Children's Hospital in Houston, and Mt Sinai Hospital in Toronto. The survey included 1,625 infants with birth weights of 700 to 1,500 g. We confirmed the relationship of risk to low birth weight, white race, and male sex. Significant differences in the incidence of chronic lung disease were found between institutions even when birth weight, race, and sex were taken into consideration through a multivariate logistic regression analysis. Columbia had one of the best outcomes for low birth weight infants and the lowest incidence of chronic lung disease.
Key Words: bronchopulmonary dysplasia premature infant mechanical ventilation
Submitted on June 9, 1986
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L. Singer, T. Yamashita, L. Lilien, M. Collin, and J. Baley A Longitudinal Study of Developmental Outcome of Infants With Bronchopulmonary Dysplasia and Very Low Birth Weight Pediatrics, December 1, 1997; 100(6): 987 - 993. [Abstract] [Full Text] [PDF] |
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B.-H. Su, T. Watanabe, M. Shimizu, and M. Yanagisawa Doppler assessment of pulmonary artery pressure in neonates at risk of chronic lung disease Arch. Dis. Child. Fetal Neonatal Ed., July 1, 1997; 77(1): 23F - 27. [Abstract] [Full Text] |
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M. C. McCormick The Outcomes of Very Low Birth Weight Infants: Are We Asking the Right Questions? Pediatrics, June 1, 1997; 99(6): 869 - 869. [Full Text] [PDF] |
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J. D. Horbar, G. J. Badger, E. M. Lewit, J. Rogowski, and P. H. Shiono Hospital and Patient Characteristics Associated With Variation in 28-Day Mortality Rates for Very Low Birth Weight Infants Pediatrics, February 1, 1997; 99(2): 149 - 156. [Abstract] [Full Text] [PDF] |
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B. E. Fleisher, K. VandenBerg, J. Constantinou, C. Heller, W. E. Benitz, A. Johnson, A. Rosenthal, and D. K. Stevenson Individualized Developmental Care for Very-Low-Birth-Weight Premature Infants Clinical Pediatrics, October 1, 1995; 34(10): 523 - 529. [Abstract] [PDF] |
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A. H. Jobe Hypocarbia and Bronchopulmonary Dysplasia Arch Pediatr Adolesc Med, June 1, 1995; 149(6): 615 - 616. [Abstract] [PDF] |
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J. S. Garland, R. K. Buck, E. N. Allred, and A. Leviton Hypocarbia Before Surfactant Therapy Appears to Increase Bronchopulmonary Dysplasia Risk in Infants With Respiratory Distress Syndrome Arch Pediatr Adolesc Med, June 1, 1995; 149(6): 617 - 622. [Abstract] [PDF] |
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C. A. Patel and J. M. Klein Outcome of Infants With Birth Weights Less Than 1000 g With Respiratory Distress Syndrome Treated With High-Frequency Ventilation and Surfactant Replacement Therapy Arch Pediatr Adolesc Med, March 1, 1995; 149(3): 317 - 321. [Abstract] [PDF] |
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H. Verder, B. Robertson, G. Greisen, F. Ebbesen, P. Albertsen, K. Lundstrom, T. Jacobsen, and The Danish-Swedish Multicenter Study Group Surfactant Therapy and Nasal Continuous Positive Airway Pressure for Newborns with Respiratory Distress Syndrome N. Engl. J. Med., October 20, 1994; 331(16): 1051 - 1055. [Abstract] [Full Text] |
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S. J. Bachrach, F. S. Pidcock, P. A. Branca, P. L. Gilbert, A. Schneider, L. Walko, and B. McHugh Early Transfer to a Rehabilitation Hospital For Infants With Chronic Bronchopulmonary Dysplasia Clinical Pediatrics, September 1, 1993; 32(9): 535 - 541. [Abstract] [PDF] |
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S. Davidson, A. Schrayer, E. Wielunsky, R. Krikler, P. Lilos, and S. H. Reisner Energy Intake, Growth, and Development in Ventilated Very-Low-Birth-Weight Infants With and Without Bronchopulmonary Dysplasia Arch Pediatr Adolesc Med, May 1, 1990; 144(5): 553 - 559. [Abstract] [PDF] |
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M. C. McCormick Long-term Follow-up of Infants Discharged From Neonatal Intensive Care Units JAMA, March 24, 1989; 261(12): 1767 - 1772. [Abstract] [PDF] |
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R. L. Gibson, J. C. Jackson, G. A. Twiggs, G. J. Redding, and W. E. Truog Bronchopulmonary Dysplasia: Survival After Prolonged Mechanical Ventilation Arch Pediatr Adolesc Med, July 1, 1988; 142(7): 721 - 725. [Abstract] [PDF] |
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A. C. MOESSINGER Chronic Lung Disease in Children Born With Sublethal Lung Hypoplasia Arch Pediatr Adolesc Med, May 1, 1988; 142(5): 484 - 484. [Abstract] [PDF] |
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W. F. POWERS and P. D. HEGWOOD Chronic Lung Disease in VLBW Infants Arch Pediatr Adolesc Med, May 1, 1988; 142(5): 484 - 485. [Abstract] [PDF] |
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