Open AccessEducational and health outcomes associated with bronchopulmonary dysplasia in 15-year-olds born preterm
Author(s) -
David Drummond,
Alice Hadchouel,
Héloïse Torchin,
JeanChristophe Rozé,
Catherine Arnaud,
Adèle Bellino,
L. Couderc,
Stéphane Marret,
M. Mittaine,
Didier Pinquier,
Marie Vestraete,
Jessica Rousseau,
PierreYves Ancel,
Christophe Delacourt
Publication year - 2019
Publication title -
plos one
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.99
H-Index - 332
ISSN - 1932-6203
DOI - 10.1371/journal.pone.0222286
Subject(s) - bronchopulmonary dysplasia , medicine , logistic regression , pediatrics , cohort , cohort study , family history , multivariate analysis , medical history , pregnancy , gestational age , genetics , biology
To evaluate the consequences of bronchopulmonary dysplasia (BPD) on academic outcomes and healthcare use in adolescents born very preterm. Methods 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. Results 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. Conclusion This study highlights that a history of BPD is associated with poorer academic outcomes and high healthcare use in adolescence.