Health-care utilization and respiratory morbidities in preterm infants with pulmonary hypertension

B. D. Stuart, P. Sekar, J. D. Coulson, S. E J Choi, S. A. Mcgrath-Morrow, J. M. Collaco

Research output: Contribution to journalArticle

18 Scopus citations

Abstract

Objective:To assess health-care utilization and risk of respiratory morbidities in preterm infants with bronchopulmonary dysplasia (BPD) and pulmonary hypertension (PH).Study Design:Retrospective data were obtained from subjects (n=109) attending a BPD clinic. Subjects were stratified by the presence or absence of PH before and after 2 months of age. Analytic methods included t-tests, χ 2 tests and regression.Result:Subjects with BPD and PH present after 2 months of age were hospitalized for 2.2 months longer than those without PH (P=0.02). These subjects were 4.5 times more likely to receive home supplemental oxygen or mechanical ventilation (P=0.03). No difference in the risk of respiratory morbidities after initial hospital discharge was seen with PH.Conclusion:PH in preterm infants is associated with longer initial hospitalizations and a higher likelihood of requiring home respiratory support. This has implications for counseling families and reducing the medical, psychosocial, and economic burden of BPD and PH.

Original languageEnglish (US)
Pages (from-to)543-547
Number of pages5
JournalJournal of Perinatology
Volume33
Issue number7
DOIs
StatePublished - Jul 1 2013

Keywords

  • bronchopulmonary dysplasia
  • chronic lung disease
  • prematurity
  • pulmonary hypertension

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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    Stuart, B. D., Sekar, P., Coulson, J. D., Choi, S. E. J., Mcgrath-Morrow, S. A., & Collaco, J. M. (2013). Health-care utilization and respiratory morbidities in preterm infants with pulmonary hypertension. Journal of Perinatology, 33(7), 543-547. https://doi.org/10.1038/jp.2012.170