Subjects born at between 23 and 30 weeks of gestation and having a diagnosis of BPD were recruited from the Neonatal Intensive Care Unit or the Pediatric Pulmonary Clinic of James Whitcomb Riley Hospital for Children (Indianapolis, IN) between 2008 and 2012. BPD was defined as an oxygen requirement (>21% F i O2) for at least 28 days. Subjects were clinically stable outpatients with no oxygen requirement at the time of testing and no acute respiratory symptoms for at least 3 weeks.
Victims produced on 37 weeks from gestation or later on had been recruited through adverts during the regional books into the Indianapolis, Indiana, between 2008 and you will 2013. The subjects didn’t come with cardiorespiratory malformations, as well as had a respiratory record bad getting wheezing, asthma, therapy that have asthma medications, otherwise hospitalization to possess a breathing illness.
Subjects were evaluated between 2008 and 2013 at James Whitcomb Riley Hospital for Children while sleeping in a supine position with chloral hydrate sedation (50–100 mg/kg). Oxygen saturation and heart rate were monitored during testing as recommended in American Thoracic Society/European Respiratory Society guidelines (13). The study was approved by the institutional review board at Indiana University, and parental informed consent was obtained. D l CO values measured on room air were previously reported for 18 subjects with BPD and 25 FT infants (8, 14).
D l CO and V a were measured using normoxic (20% oxygen, 4% helium, and 0.3% CO 18 ) and hyperoxic (90% oxygen, 4% helium, and 0.3% CO 18 ) test gases and a 4-second induced respiratory pause at an inflation airway pressure of 30 cm H2O, as previously described (8, 14, 15). For each test gas, D l CO was expressed as the average of two or three measurements within 10% and adjusted for Hb concentration, as recommended by the American Thoracic Society/European Respiratory Society Task Force (16). D m and Vc were calculated as described by Roughton and Forster (10, 14).
Descriptive statistics included mean and range for continuous variables. Demographic and lung function data for each group (BPD and FT) were compared using two-sample t tests for continuous variables and ? 2 tests for categorical variables. If the continuous variables had nonnormal distributions, the Wilcoxon nonparametric test was used. CO, D m , Vc, and body length. For all analyses, the level for statistical significance was set at 0.05. Statistical analysis was performed with IBM SPSS Statistics 22 software (IBM, Armonk, NY).
I examined 85 children and kids having corrected decades between step three and you may 37 weeks. This new class of subjects having BPD in addition to Ft infants try described during the Dining table step one. The new victims having BPD was basically created too soon hence had more youthful gestational decades in the beginning compared to the Foot children. There are zero tall differences between BPD and you may Foot teams having reference to gender, competition, and corrected decades and the entire body duration in the course of comparison.
Group mean values for pulmonary diffusion are summarized in Table 2. Subjects with BPD had significantly lower D l CO compared with FT infants when measured while breathing the normoxic and the hyperoxic gas mixtures. V a was not significantly different between subjects with BPD and FT infants.
Definition of abbreviations: BPD = bronchopulmonary dysplasia; D l CO-High = pulmonary diffusion capacity of the lung for carbon monoxide measured with hyperoxic test gas; D l CO-RA = pulmonary diffusion capacity of the lung for carbon monoxide measured with normoxic test gas; FT = healthy full-term; STPD = standard temperature and pressure, dry.