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Validation of an outpatient questionnaire for bronchopulmonary dysplasia control.
Collaco, Joseph M; Li, Yun; Rhein, Lawrence M; Tracy, Michael C; Sheils, Catherine A; Rice, Jessica L; Popova, Antonia P; Moore, Paul E; Manimtim, Winston M; Lai, Khanh; Kaslow, Jacob A; Hayden, Lystra P; Bansal, Manvi; Austin, Eric D; Aoyama, Brianna; Alexiou, Stamatia; Agarwal, Amit; Villafranco, Natalie; Siddaiah, Roopa; Lagatta, Joanne M; Dawson, Sara K; Cristea, A Ioana; Bauer, Sarah E; Baker, Christopher D; McGrath-Morrow, Sharon A.
Afiliación
  • Collaco JM; Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland, USA.
  • Li Y; Department of Biostatistics, Epidemiology & Informatics, Perelman School of Medicine of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Rhein LM; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Tracy MC; Neonatal-Perinatal Medicine/Pediatric Pulmonology, University of Massachusetts, Worcester, Massachusetts, USA.
  • Sheils CA; Division of Pediatric Pulmonary, Asthma and Sleep Medicine, Stanford University, Stanford, California, USA.
  • Rice JL; Division of Pulmonary Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
  • Popova AP; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Moore PE; Pediatric Pulmonology, University of Michigan, Ann Arbor, Michigan, USA.
  • Manimtim WM; Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Lai K; Division of Neonatology, Children's Mercy-Kansas City and University of Missouri Kansas City School of Medicine.
  • Kaslow JA; Division of Pediatric Pulmonary and Sleep Medicine, University of Utah, Salt Lake City, Utah, USA.
  • Hayden LP; Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Bansal M; Division of Pulmonary Medicine, Boston Children's Hospital and Harvard Medical School, Boston, Massachusetts, USA.
  • Austin ED; Pulmonology and Sleep Medicine, Children's Hospital of Los Angeles, Los Angeles, California, USA.
  • Aoyama B; Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, Tennessee, USA.
  • Alexiou S; Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, Maryland, USA.
  • Agarwal A; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania, USA.
  • Villafranco N; Division of Pulmonary Medicine, Arkansas Children's Hospital and University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
  • Siddaiah R; Pulmonary Medicine, Texas Children's Hospital and Baylor University, Houston, Texas, USA.
  • Lagatta JM; Pediatric Pulmonology, Penn State Health, Hershey, Pennsylvania, USA.
  • Dawson SK; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Cristea AI; Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Bauer SE; Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Children's Hospital and Indiana University, Indianapolis, Indiana, USA.
  • Baker CD; Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Children's Hospital and Indiana University, Indianapolis, Indiana, USA.
  • McGrath-Morrow SA; Section of Pulmonary and Sleep Medicine, Department of Pediatrics, University of Colorado School of Medicine, Aurora, Colorado, USA.
Pediatr Pulmonol ; 58(5): 1551-1561, 2023 05.
Article en En | MEDLINE | ID: mdl-36793145
INTRODUCTION: Despite bronchopulmonary dysplasia (BPD) being a common morbidity of preterm birth, there is no validated objective tool to assess outpatient respiratory symptom control for clinical and research purposes. METHODS: Data were obtained from 1049 preterm infants and children seen in outpatient BPD clinics of 13 US tertiary care centers from 2018 to 2022. A new standardized instrument was modified from an asthma control test questionnaire and administered at the time of clinic visits. External measures of acute care use were also collected. The questionnaire for BPD control was validated in the entire population and selected subgroups using standard methodology for internal reliability, construct validity, and discriminative properties. RESULTS: Based on the scores from BPD control questionnaire, the majority of caregivers (86.2%) felt their child's symptoms were under control, which did not differ by BPD severity (p = 0.30) or a history of pulmonary hypertension (p = 0.42). Across the entire population and selected subgroups, the BPD control questionnaire was internally reliable, suggestive of construct validity (albeit correlation coefficients were -0.2 to -0.4.), and discriminated control well. Control categories (controlled, partially controlled, and uncontrolled) were also predictive of sick visits, emergency department visits, and hospital readmissions. CONCLUSION: Our study provides a tool for assessing respiratory control in children with BPD for clinical care and research studies. Further work is needed to identify modifiable predictors of disease control and link scores from the BPD control questionnaire to other measures of respiratory health such as lung function testing.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Displasia Broncopulmonar / Nacimiento Prematuro Tipo de estudio: Prognostic_studies Límite: Child / Female / Humans / Infant / Newborn Idioma: En Revista: Pediatr Pulmonol Asunto de la revista: PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Displasia Broncopulmonar / Nacimiento Prematuro Tipo de estudio: Prognostic_studies Límite: Child / Female / Humans / Infant / Newborn Idioma: En Revista: Pediatr Pulmonol Asunto de la revista: PEDIATRIA Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos