Persistent and progressive long-term lung disease in survivors of preterm birth
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© 2018 Elsevier Ltd. Preterm birth accounts for approximately 11% of births globally, with rates increasing across many countries. Concurrent advances in neonatal care have led to increased survival of infants of lower gestational age (GA). However, infants born < 32 weeks of GA experience adverse respiratory outcomes, manifesting with increased respiratory symptoms, hospitalisation and health care utilisation into early childhood. The development of bronchopulmonary dysplasia (BPD) – the chronic lung disease of prematurity – further increases the risk of poor respiratory outcomes throughout childhood, into adolescence and adulthood. Indeed, survivors of preterm birth have shown increased respiratory symptoms, altered lung structure, persistent and even declining lung function throughout childhood. The mechanisms behind this persistent and sometimes progressive lung disease are unclear, and the implications place those born preterm at increased risk of respiratory morbidity into adulthood. This review aims to summarise what is known about the long-term pulmonary outcomes of contemporary preterm birth, examine the possible mechanisms of long-term respiratory morbidity in those born preterm and discuss addressing the unknowns and potentials for targeted treatments.
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Lung function trajectories throughout childhood in survivors of very preterm birth: a longitudinal cohort studySimpson, Shannon; Turkovic, L.; Wilson, Andrew; Verheggen, M.; Logie, K.; Pillow, J.; Hall, Graham (2018)© 2018 Elsevier Ltd. Background: Data on longitudinal respiratory follow-up after preterm birth in the surfactant era are scarce and of increasing importance, with concerns that preterm survivors are destined for early ...
Simpson, S.; Logie, K.; O'Dea, C.; Banton, G.; Murray, C.; Wilson, A.; Pillow, J.; Hall, Graham (2017)Rationale Survivors of preterm birth are at risk of chronic and lifelong pulmonary disease. Follow-up data describing lung structure and function are scarce in children born preterm during the surfactant era. Objectives ...
Townsi, N.; Laing, I.; Hall, Graham; Simpson, S. (2018)Children born preterm, less than 37 weeks' gestation, are at increased risk of viral respiratory infections and associated complications both during their initial birth hospitalisation and in their first years following ...