Inhaled Corticosteroid Exposure in Hospitalized Infants with Bronchopulmonary Dysplasia.


Journal

American journal of perinatology
ISSN: 1098-8785
Titre abrégé: Am J Perinatol
Pays: United States
ID NLM: 8405212

Informations de publication

Date de publication:
07 Jun 2022
Historique:
pubmed: 7 5 2022
medline: 7 5 2022
entrez: 6 5 2022
Statut: aheadofprint

Résumé

 The objective of this paper was to determine inhaled corticosteroid (IC) use in infants with bronchopulmonary dysplasia (BPD), define the interhospital variation of IC administration to infants with BPD, and compare clinical, demographic, and hospital factors associated with IC use.  Using the Pediatric Health Information System database, a retrospective multicenter cohort of 4,551 infants born at <32 weeks of gestation with developing BPD was studied. The clinical, demographic, and hospital characteristics of infants exposed and not exposed to ICs were compared.  IC use varied markedly between hospitals, ranging from 0 to 66% of infants with BPD exposed to ICs. Increased annual BPD census was not associated with IC use. In total, 25% (1,144 out of 4,551) of patients with BPD and 43% (536 out of 1,244) of those with severe BPD received ICs. Increased IC exposure was associated with lower birth weight and gestational age, days on respiratory support, need for positive pressure ventilation at 36-week postmenstrual age, need for tracheostomy, and increased use of systemic steroids, bronchodilators, and diuretics.  IC exposure is common in infants with BPD, with substantial interhospital variability. IC use was associated with more severe disease. Hospital experience did not account for the wide variability in IC use by the hospital. Further research into the effects of ICs use is urgently needed to help guide their use in this vulnerable population. · The risks and benefits of IC use in infants with BPD are incompletely understood.. · IC use is common in infants with BPD (25%) and severe BPD (43%) varies widely by hospital (0-66% of patients with BPD received an IC).. · Hospital experience did not account for the wide interhospital variation in IC use..

Identifiants

pubmed: 35523409
doi: 10.1055/a-1845-2669
pmc: PMC9637235
mid: NIHMS1807976
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : NIH HHS
ID : UG1 OD024953
Pays : United States
Organisme : UG10D024953
ID : National Institutes of Health

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

None declared.

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Auteurs

Chelsey Leiting (C)

Children's Hospital and Medical Center, Omaha, Nebraska.

Ellen Kerns (E)

Children's Hospital and Medical Center, Omaha, Nebraska.
Department of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska.

Joshua C Euteneuer (JC)

Children's Hospital and Medical Center, Omaha, Nebraska.
Department of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska.

Russell J McCulloh (RJ)

Children's Hospital and Medical Center, Omaha, Nebraska.
Department of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska.

Eric S Peeples (ES)

Children's Hospital and Medical Center, Omaha, Nebraska.
Department of Pediatrics, University of Nebraska Medical Center, Omaha, Nebraska.

Classifications MeSH