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Parental Report of Indoor Air Pollution Is Associated with Respiratory Morbidities in Bronchopulmonary Dysplasia.
Rice, Jessica L; Collaco, Joseph M; Tracy, Michael C; Sheils, Catherine A; Rhein, Lawrence M; Popova, Antonia P; Moore, Paul E; Miller, Audrey N; Manimtim, Winston M; Lai, Khanh; Kaslow, Jacob A; Hayden, Lystra P; Fierro, Julie L; Bansal, Manvi; Austin, Eric D; Aoyama, Brianna; Alexiou, Stamatia; Akangire, Gangaram; Agarwal, Amit; Villafranco, Natalie; Siddaiah, Roopa; Lagatta, Joanne M; Abul, Mehtap Haktanir; Cristea, A Ioana; Baker, Christopher D; Abman, Steven H; McGrath-Morrow, Sharon A.
Afiliação
  • Rice JL; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA.
  • Collaco JM; Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, MD. Electronic address: mcollac1@jhmi.edu.
  • Tracy MC; Division of Pediatric Pulmonary, Asthma and Sleep Medicine, Stanford University, Stanford, CA.
  • Sheils CA; Division of Pulmonary Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA.
  • Rhein LM; Neonatal-Perinatal Medicine/Pediatric Pulmonology, University of Massachusetts, Worcester, MA.
  • Popova AP; Pediatric Pulmonology, University of Michigan, Ann Arbor, MI.
  • Moore PE; Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, TN.
  • Miller AN; Division of Neonatology, Nationwide Children's Hospital and Ohio State University, Columbus, OH.
  • Manimtim WM; Division of Neonatology, Children's Mercy-Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
  • Lai K; Division of Pediatric Pulmonary and Sleep Medicine, University of Utah, Salt Lake City, UT.
  • Kaslow JA; Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, TN.
  • Hayden LP; Division of Pulmonary Medicine, Boston Children's Hospital and Harvard Medical School, Boston, MA.
  • Fierro JL; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA.
  • Bansal M; Pulmonology and Sleep Medicine, Children's Hospital of Los Angeles, Los Angeles, CA.
  • Austin ED; Pulmonary Medicine, Vanderbilt University and Vanderbilt University Medical Center, Nashville, TN.
  • Aoyama B; Eudowood Division of Pediatric Respiratory Sciences, Johns Hopkins University, Baltimore, MD.
  • Alexiou S; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA.
  • Akangire G; Division of Neonatology, Children's Mercy-Kansas City and University of Missouri Kansas City School of Medicine, Kansas City, MO.
  • Agarwal A; Division of Pulmonary Medicine, Arkansas Children's Hospital and University of Arkansas for Medical Sciences, Little Rock, AR.
  • Villafranco N; Pulmonary Medicine, Texas Children's Hospital and Baylor College of Medicine, Houston, TX.
  • Siddaiah R; Pediatric Pulmonology, Penn State Health, Hershey, PA.
  • Lagatta JM; Department of Pediatrics, Medical College of Wisconsin Milwaukee, WI.
  • Abul MH; Department of Pediatrics, Brown University School of Medicine, Providence, RI.
  • Cristea AI; Division of Pediatric Pulmonology, Allergy and Sleep Medicine, Riley Children's Hospital and Indiana University, Indianapolis, IN.
  • Baker CD; Section of Pulmonary and Sleep Medicine, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
  • Abman SH; Section of Pulmonary and Sleep Medicine, Department of Pediatrics, University of Colorado School of Medicine, Aurora, CO.
  • McGrath-Morrow SA; Division of Pulmonary Medicine, Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, PA.
J Pediatr ; 275: 114241, 2024 Aug 14.
Article em En | MEDLINE | ID: mdl-39151604
ABSTRACT

OBJECTIVE:

To determine the association between indoor air pollution and respiratory morbidities in children with bronchopulmonary dysplasia (BPD) recruited from the multicenter BPD Collaborative. STUDY

DESIGN:

A cross-sectional study was performed among participants <3 years old in the BPD Collaborative Outpatient Registry. Indoor air pollution was defined as any reported exposure to tobacco or marijuana smoke, electronic cigarette emissions, gas stoves, and/or wood stoves. Clinical data included acute care use and chronic respiratory symptoms in the past 4 weeks.

RESULTS:

A total of 1011 participants born at a mean gestational age of 26.4 ± 2.2 weeks were included. Most (66.6%) had severe BPD. More than 40% of participants were exposed to ≥1 source of indoor air pollution. The odds of reporting an emergency department visit (OR, 1.7; 95% CI, 1.18-2.45), antibiotic use (OR, 1.9; 95% CI, 1.12-3.21), or a systemic steroid course (OR, 2.18; 95% CI, 1.24-3.84) were significantly higher in participants reporting exposure to secondhand smoke (SHS) compared with those without SHS exposure. Participants reporting exposure to air pollution (not including SHS) also had a significantly greater odds (OR, 1.48; 95% CI, 1.08-2.03) of antibiotic use as well. Indoor air pollution exposure (including SHS) was not associated with chronic respiratory symptoms or rescue medication use.

CONCLUSIONS:

Exposure to indoor air pollution, especially SHS, was associated with acute respiratory morbidities, including emergency department visits, antibiotics for respiratory illnesses, and systemic steroid use.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Pediatr Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Idioma: En Revista: J Pediatr Ano de publicação: 2024 Tipo de documento: Article País de publicação: Estados Unidos