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School‐age children enjoyed good respiratory health and fewer allergies despite having lung disease after preterm birth
Author(s) -
Ronkainen Eveliina,
Kaukola Tuula,
Marttila Riitta,
Hallman Mikko,
Dunder Teija
Publication year - 2016
Publication title -
acta paediatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/apa.13526
Subject(s) - medicine , bronchopulmonary dysplasia , pediatrics , atopy , gestational age , allergy , odds ratio , asthma , lung disease , premature birth , pregnancy , lung , immunology , genetics , biology
Abstract Aim This study explored the under‐researched area of whether preterm birth or bronchopulmonary dysplasia ( BPD ) affected hospitalisation rates, allergies or health‐related quality of life ( HRQ oL). Methods We studied 88 schoolchildren born preterm at a mean gestational age of 28.8 weeks (range 24.1–31.9) and matched term‐born controls at the mean age of 11 years (range 8–14). Hospitalisations after the first discharge were recorded, skin prick allergy tests were performed and HRQ oL was assessed with a parental questionnaire. Results Preterm children were hospitalised more than controls (64% versus 39%, p = 0.001), mostly before two years of age. The adjusted odds ratios ( OR ) for two‐year‐old preterm‐born children being hospitalised for wheezing was 8.2 (95% CI 2.0–34.1). BPD affected 56% of the preterm children, but did not influence hospitalisations, and the positive skin prick rate was similar between the preterm and term‐born children (35% versus 48%, p = 0.126). Preterm BPD children had fewer positive skin prick tests than those without BPD . HRQ oL was lower in preterm than term children (81.25 ± 10.84 versus 86.80 ± 9.60, p = 0.001). Conclusion Most health problems experienced by preterm‐born schoolchildren occurred before two years of age and were mainly wheezing disorders. BPD decreased atopy but had no influence on hospitalisation rates.