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

    loading  Checking for direct PDF access through Ovid

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, x2 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.

Related Topics

    loading  Loading Related Articles