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Tobacco smoke in infants with bronchopulmonary dysplasia.
- Source :
-
European journal of pediatrics [Eur J Pediatr] 2015 Jul; Vol. 174 (7), pp. 943-8. Date of Electronic Publication: 2015 Jan 30. - Publication Year :
- 2015
-
Abstract
- Unlabelled: Exposure to tobacco smoke has been not evaluated in children with bronchopulmonary dysplasia (BPD). We evaluate the association of in utero smoking (IUS) and environmental tobacco smoke (ETS) with the respiratory events of BPD and non-BPD children. Two hundred sixty-two children born before 35 weeks of gestational age (GA) and regularly followed up in our regional network for preterms were enrolled. They were paired according to their BPD status, their gestational age and birth weight (131 children with BPD and 131 without BPD, 28 mean weeks GA; mean weight 1000 g). Respiratory data were obtained prospectively during their first 2 years of life. A complementary questionnaire was completed by the parents about their child's respiratory health at the age of 2, their home environment, and tobacco status. IUS concerned 12.6 %; ETS, 48.8 % (67 % in BPD children treated with oxygen at home). No further influence on respiratory outcome could be found by exposure to intrauterine smoke or extrauterine tobacco smoke in this patient sample.<br />Conclusion: IUS and ETS exposures are as high in preterm children as in a general pediatric population. The highest exposure occurs among BPD infants treated with oxygen at home.<br />What Is Known: • Environmental tobacco smoke (ETS) and in utero smoking (IUS) are responsible for many morphological, functional, and clinical changes in children. • Children with bronchopulmonary dysplasia (BPD) have more respiratory events in their first years of life than preterm children without BPB, maybe triggered by ETS and IUS. What is New: • The exposition to ETS and IUS is high in preterm children with and without BDP, as high as in a general. • Pedaitric population, particularly in children with BPD and treated with oxygen at home. • No further influence on respiratory outcome could be found by exposure to ETS or IUS in our studied population.
- Subjects :
- Asthma diagnosis
Asthma epidemiology
Bronchopulmonary Dysplasia therapy
Case-Control Studies
Child, Preschool
Female
France epidemiology
Humans
Infant
Infant, Newborn
Infant, Premature
Male
Oxygen Inhalation Therapy
Pregnancy
Prospective Studies
Smoking adverse effects
Bronchopulmonary Dysplasia epidemiology
Prenatal Exposure Delayed Effects
Smoking epidemiology
Tobacco Smoke Pollution statistics & numerical data
Subjects
Details
- Language :
- English
- ISSN :
- 1432-1076
- Volume :
- 174
- Issue :
- 7
- Database :
- MEDLINE
- Journal :
- European journal of pediatrics
- Publication Type :
- Academic Journal
- Accession number :
- 25633581
- Full Text :
- https://doi.org/10.1007/s00431-015-2491-y