Dissemin is shutting down on January 1st, 2025

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Wiley, Acta Paediatrica: Nurturing the Child, 11(105), p. 1298-1304

DOI: 10.1111/apa.13526

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School-age children enjoyed good respiratory health and fewer allergies despite having lung disease after preterm birth

This paper was not found in any repository, but could be made available legally by the author.
This paper was not found in any repository, but could be made available legally by the author.

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Abstract

AbstractAimThis study explored the under‐researched area of whether preterm birth or bronchopulmonary dysplasia (BPD) affected hospitalisation rates, allergies or health‐related quality of life (HRQoL).MethodsWe 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 HRQoL was assessed with a parental questionnaire.ResultsPreterm 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. HRQoL was lower in preterm than term children (81.25 ± 10.84 versus 86.80 ± 9.60, p = 0.001).ConclusionMost 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.