Growth and nutrition in children with established bronchopulmonary dysplasia: A review of the literature

Bauer, Sarah; Huff, Katie; Vanderpool, Charles; Rose, Rebecca S.; Cristea, A. Ioana

doi:10.1002/ncp.10841

Cited by 12 publications

(3 citation statements)

References 65 publications

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“…Several studies have indicated that nutrition is a key component of lung growth, particularly for infants with severe BPD who require tracheostomy and home ventilation (52)(53)(54)(55). These infants have high energy needs and energy consumption, manifested by increased work of breathing in an effort to mitigate ongoing lung inflammation and sustain continuous lung repair (56).…”

Section: Growth Outcomesmentioning

confidence: 99%

Tracheostomy in infants with severe bronchopulmonary dysplasia: A review

Akangire

Manimtim

2023

Front. Pediatr.

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In recent years, with increased survival of infants with severe bronchopulmonary dysplasia (BPD), long term ventilation due to severe BPD has increased and become the most common indication for tracheostomy in infants less than one year of age. Evidence shows that tracheostomy in severe BPD may improve short- and long-term respiratory and neurodevelopmental outcomes. However, there is significant variation among centers in the indication, timing, intensive care management, and follow-up care after hospital discharge of infants with severe BPD who received tracheostomy for chronic ventilation. The timing of liberation from the ventilator, odds of decannulation, rate of rehospitalization, growth, and neurodevelopment are all clinically important outcomes that can guide both clinicians and parents to make a well-informed decision when choosing tracheostomy and long-term assisted ventilation for infants with severe BPD. This review summarizes the current literature regarding the indications and timing of tracheostomy placement in infants with severe BPD, highlights center variability in both intensive care and outpatient follow-up settings, and describes outcomes of infants with severe BPD who received tracheostomy.

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Section: Growth Outcomesmentioning

confidence: 99%

Tracheostomy in infants with severe bronchopulmonary dysplasia: A review

Akangire

Manimtim

2023

Front. Pediatr.

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“…14 For children less than 3 years of age, somatic growth measurements (weight, height, and weight-for-length) are potential attractive surrogate measures given the ease in acquisition in virtually all clinical settings. A recent literature review 15 demonstrated that there are clear differences in nutrition and growth between infants and children with BPD and those without BPD with infants and children with BPD demonstrating poorer growth, which was attributed to a combination of increased work of breathing, 16 growth suppression from chronic stress and inflammation, 17 and chronic steroid or diuretic use. To date, there is little information regarding early life somatic growth patterns in infants and children with chronic lung disease; therefore, the goal of this study was to identify distinct trajectories of somatic growth and determine whether patient characteristics were associated with trajectory group membership.…”

Section: Introductionmentioning

confidence: 99%

Patterns of early life somatic growth in infants and children with a history of chronic lung disease of prematurity

Aoyama

McGrath‐Morrow

Psoter

et al. 2023

Pediatric Pulmonology

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ObjectivePreterm infants, and especially those with additional comorbidities, are at risk of early life growth failure, which may impact postnatal lung growth and attainment of peak lung function. However, little is known about the early life growth patterns of those with chronic lung disease. The goal of this study was to describe the patterns appreciated in this population and their association with certain clinical characteristics.Study DesignDemographic, clinical characteristics, and somatic growth parameters between birth and 3 years were retrospectively reviewed for a cohort of children (n = 616) recruited from an outpatient pulmonary clinic. Group‐based trajectory modeling was used to identify unique longitudinal trajectories for each growth parameter. Demographic and clinical characteristics were compared using nonparametric analysis.ResultsFour distinct trajectories were appreciated in all three somatic growth domains (weight, length, and weight‐for‐length), which demonstrated a sizable proportion of subjects with a z‐score below zero at 36 months of age, suggesting that the traditional preterm paradigm of “catch‐up” growth may not be accurate for this population.ConclusionsChildren with a history of chronic lung disease begin life with somatic growth measurements well below their term peers and display heterogeneous patterns of weight and length growth through the first 3 years of life. Future studies should focus on further understanding the relationship between somatic growth and respiratory outcomes in this population, which will ideally allow for the use of somatic growth measures as surrogate markers to identify individuals at the highest risk of postnatal growth failure and poor respiratory outcomes.

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“…9 We guess that the study of lung circulation starting already during prenatal life will help in decision making on the timing of delivery in pregnancies at higher risk of preterm delivery, enhance communication and counseling of partners regarding the implications and prognosis of their infants, and stratifying newborns for the enrollment in clinical trials. 10…”

mentioning

confidence: 99%