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Drummond D, Hadchouel A, Torchin H, Rozé JC, Arnaud C, Bellino A, Couderc L, Marret S, Mittaine M, Pinquier D, Vestraete M, Rousseau J, Ancel PY, Delacourt C. Educational and health outcomes associated with bronchopulmonary dysplasia in 15-year-olds born preterm. PLoS One 2019; 14:e0222286. [PMID: 31509594 PMCID: PMC6738652 DOI: 10.1371/journal.pone.0222286] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Accepted: 08/26/2019] [Indexed: 11/19/2022] Open
Abstract
Introduction To evaluate the consequences of bronchopulmonary dysplasia (BPD) on academic outcomes and healthcare use in adolescents born very preterm. Methods This cohort study included 15-year-old adolescents born very preterm (< 32 weeks) between 2011 and 2013, with and without BPD, and controls born full term. Data regarding academic performance, current medical follow-up, and family characteristics were collected. Multivariate logistic regression was used to quantify relationships between academic outcomes and BPD. Results From the 1341 children included in the initial cohort, 985 adolescents were eligible and 351 included (55 preterms with a history of BPD, 249 without, and 47 controls). Among adolescents born very preterm, a history of BPD was associated with a higher risk to attend a school for children with special needs (p < 0.05) and to have repeated a grade (p = 0.01). It was also associated with an increased number of medical and paramedical consultations. A history of BPD was not associated with the parents’ employment status, family structure, or the presence of younger siblings. Conclusion This study highlights that a history of BPD is associated with poorer academic outcomes and high healthcare use in adolescence.
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Affiliation(s)
- David Drummond
- Paediatric Pulmonology, University Hospital Necker-Enfants Malades, AP-HP, Paris, France
- Paris Descartes University, Paris, France
- * E-mail:
| | - Alice Hadchouel
- Paediatric Pulmonology, University Hospital Necker-Enfants Malades, AP-HP, Paris, France
- Paris Descartes University, Paris, France
| | - Heloise Torchin
- Paris Descartes University, Paris, France
- Port Royal Hospital, AP-HP, Paris, France
| | - Jean-Christophe Rozé
- Department of Neonatal Medicine, Nantes University Hospital, Nantes, France
- CIC004, Nantes University Hospital, Nantes, France
| | - Catherine Arnaud
- UMR1027, INSERM, Toulouse, France
- Paul Sabatier University, Toulouse, France
- Clinical Epidemiology Unit, CHU Purpan, Toulouse, France
| | - Adèle Bellino
- Clinical Research Unit Cochin-Necker, AP-HP, Paris, France
| | - Laure Couderc
- Rouen University Hospital, Pediatric Pulmonology and Allergology, Inserm CIC-CRB 1404 Rouen, France
| | - Stéphane Marret
- INSERM U1245, Team 4, Perinatal Neurological Handicap and Brain Protection, IRIB, School of Medicine, Normandy University, Rouen, France and Department of Neonatal Medicine and Neuropediatrics, Rouen University Hospital, Rouen, France
| | - Marie Mittaine
- Paediatric Pulmonology and Allergology Department, CHU Purpan, Toulouse, France
| | - Didier Pinquier
- INSERM U1245, Team 4, Perinatal Neurological Handicap and Brain Protection, IRIB, School of Medicine, Normandy University, Rouen, France and Department of Neonatal Medicine and Neuropediatrics, Rouen University Hospital, Rouen, France
| | | | - Jessica Rousseau
- Obstetrical, Perinatal, and Paediatric Epidemiology Team, Epidemiology and Biostatistics Sorbonne Paris Cité Research Centre (U1153), INSERM, Paris, France
| | - Pierre-Yves Ancel
- Paris Descartes University, Paris, France
- Obstetrical, Perinatal, and Paediatric Epidemiology Team, Epidemiology and Biostatistics Sorbonne Paris Cité Research Centre (U1153), INSERM, Paris, France
- Clinical Research Unit, Centre for Clinical Investigation, P1419 Cochin Broca Hôtel-Dieu, APHP, Paris, France
| | - Christophe Delacourt
- Paediatric Pulmonology, University Hospital Necker-Enfants Malades, AP-HP, Paris, France
- Paris Descartes University, Paris, France
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