Respiratory Health, Lung Function, and Airway Responsiveness in School-Age Survivors of Very-Low-Birt-Weight

Schraeder, Barbara D.; Czajka, Carol; Kalman, Denise D.; McGeady, Stephen J.

doi:10.1177/000992289803700404

Cited by 10 publications

(13 citation statements)

References 20 publications

(3 reference statements)

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“…Infants in the NICU often require cardiac and pulmonary monitoring with oxygen therapy or mechanical ventilation at some point during their admission (Apisarnthanarak, Holzmann-Pazgal, Hamvas, Olsen, & Fraser, 2003;Patel, Beeby, & Henderson-Smart, 2003). The prevalence of underlying chronic pulmonary disease including bronchopulmonary dysplasia, apnea, and reactive airway disease in NICU infants reaches 20% (Manktelow, Draper, Annamalai, & Field, 2001;Schraeder, Czajka, Kalman, & McGeady, 1998).…”

Section: Introductionmentioning

confidence: 99%

Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit

Bock

Becker

Borrelli

2008

CNTR

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The goal of this study was to explore the prevalence of smoking and attitudes and behaviors relevant to smoking cessation among parents of babies treated in a neonatal intensive care unit (NICU). Participants were 235 mothers and 83 fathers of infants admitted to the NICU of a large, university-based hospital. The 38-item survey included questions that assessed smoking status (current, former, never-smoker), motivation to quit, perceived health risks from smoking, and whether or not they received smoking cessation advice or counseling from a health care provider. A total of 26% of all participants were current smokers. Compared with mothers, fathers were more likely to be current smokers (22% vs. 31%) and smoked more cigarettes per day (11.3% vs. 17.2%). Among participants, 57% reported that smoking affected their own health "a little" or "not at all," and 70% believed that others' smoking would affect the baby's health "a little" or "somewhat." Mothers were more likely than fathers to report health care provider intervention for smoking cessation. Indeed, none of the fathers in this study reported being offered assistance with quitting smoking. More than half of smokers were willing to receive counseling for smoking cessation, and health care provider intervention was positively associated with both motivation to quit and perceived health risk to their infant (p<.01). The NICU may provide a teachable moment in which parents can be assisted with quitting smoking, thus improving their own health and the health of their babies.

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Section: Introductionmentioning

confidence: 99%

Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit

Bock

Becker

Borrelli

2008

CNTR

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“…[43][44][45] Historically, the greater incidence of respiratory diseases observed in children born prematurely has been attributed to two factors: pulmonary immaturity and the intensity of the ventilatory support used during the neonatal period. [29][30][31][33][34][35][36][46][47][48] McLeod et al 29 found an association between reduced flows and forced vital capacity (FVC) in premature infants who had needed MV for periods longer than 28 days and/or extended oxygen use at concentrations over 40% during neonatal hospital care.…”

Section: Functional Assessment During the First Years Of Lifementioning

confidence: 99%

“…Although some studies have demonstrated improvements in respiratory symptoms and even in pulmonary function as childhood and adolescence progress, 34,48,61,[64][65][66] there is increasing evidence that many abnormalities may persist until late childhood or even adulthood. 31,33,46,50,55,65,67,68 Doyle,66 measuring the pulmonary function of premature infants born at less than 1,000 g at 14 years of age and comparing them with fullterm controls, reported that, while the incidence of symptoms and the prevalence of asthma and re-hospitalizations were similar for the two groups even for those who had BPD, expiratory flow was reduced for premature infants (32% versus 8% for the controls), with 22% exhibiting clinical repercussions.…”

Section: Premature Children Without Bpdmentioning

confidence: 99%

“…Furthermore, the questionnaires filled out by parents or guardians demonstrated more complicated previous respiratory histories among these children. 48 The majority of the longitudinal follow-up studies have demonstrated improvements only in pulmonary volume, while expiratory flow generally remains abnormal throughout childhood and adolescence. There is, therefore, concern that there may be accelerated pulmonary function deterioration during adulthood, favoring the appearance of early chronic obstructive disease.…”

Section: Premature Children Without Bpdmentioning

confidence: 99%

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Prognóstico pulmonar em prematuros

Friedrich¹,

Corso²,

Jones³

2005

J. Pediatr. (Rio J.)

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Objective: The increased survival of preterm infants poses the challenge of dealing with a wide range of chronic pulmonary diseases, including bronchopulmonary dysplasia, Wilson-Mikity syndrome and recurrent wheezing. This article reviews the pulmonary clinical and functional prognosis of preterm newborns in infancy and adolescence.Source of data: MEDLINE search for articles published between 1970 and 2004 that focused on lung growth and function of preterm infants, besides a clinical follow-up of this group.Summary of the findings: Prenatal and postnatal events, such as placental insufficiency, tobacco exposure, infections, oxygen and mechanical ventilation, have an important effect on lung development and can lead to chronic lung diseases, of which bronchopulmonary dysplasia is the most severe complication. However, significant loss of lung function occurs in preterm infants who do not fulfill the criteria for bronchopulmonary dysplasia, and even in those who did not have significant respiratory disease during the neonatal period. The impact of prematurity on the respiratory system of these patients is usually underestimated. Clinically, preterm infants have an increased incidence of pneumonia and bronchiolitis, hospital readmissions due to respiratory diseases, chronic cough and wheezing and bronchial hyperresponsiveness. In adolescence, there is a tendency for normalization of the lung function, but they persist with reduced flows, lower exercise tolerance and bronchial hyperresponsiveness.Conclusions: Prematurity, the events that cause it and the interventions that follow it permanently change the development of the respiratory system. Studies are necessary to clarify the effect of each of these perinatal insults on the development of the respiratory system. J Pediatr (Rio J). 2005;81(1 Suppl):S79-S88: Premature infant, bronchopulmonary dysplasia, spirometry, breath tests, hyaline membrane disease.

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“…Many babies who begin life needing NICU care develop chronic conditions affecting their respiratory health (Manktelow, Draper, Annamalai, & Field, 2001;Schrader, Czajka, Kalman & McGeady, 1998). In the United States, the estimated smokingattributable neonatal expenditure was over $148.5 million in 2003 (Centers for Disease Control and Prevention [CDC], 2011).…”

mentioning

confidence: 99%

If Mothers Had Their Say: Research-Informed Intervention Design for Empowering Mothers to Establish Smoke-Free Homes

Begun

Barnhart

Gregoire

et al. 2014

Social Work in Health Care

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The Empowering Mothers to Establish Smoke-free Homes (EMESH) project developed in response to an interdisciplinary health team seeking effective interventions for reducing/eliminating the environmental tobacco smoke exposure of infants with compromised respiratory status. Two study phases that informed the EMESH intervention design are described. Phase I involved semi-structured interviews with 20 caretakers of infants diagnosed with Bronchopulmonary Dysplasia (BPD). In Phase II, 75 randomly selected medical records of infants with BPD were reviewed to explore the family demographics and staff behavior regarding environmental tobacco smoke (ETS) interventions. Interview results suggest that families are open to partnering with social workers and interdisciplinary team members in addressing infants' ETS exposure, families' unique circumstances indicate a need for tailored interventions, and the use of self-efficacy and decisional balance tools are feasible options. Results from the medical records review indicate that many families are economically vulnerable and reside in regions where smoking is common. There is a paucity of staff documentation regarding ETS conversations and interventions, indicating that these conversations may not take place. Together these results suggest a two-pronged approach in the next phases of EMESH: staff training in hosting and documenting ETS conversations and a tailored, parent-driven set of intervention options.

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Respiratory Health, Lung Function, and Airway Responsiveness in School-Age Survivors of Very-Low-Birt-Weight

Cited by 10 publications

References 20 publications

Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit

Smoking behavior and risk perception among the parents of infants in the neonatal intensive care unit

Prognóstico pulmonar em prematuros

If Mothers Had Their Say: Research-Informed Intervention Design for Empowering Mothers to Establish Smoke-Free Homes

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