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March 1989, Vol 143, No. 3 >
Article | March 1989

Home Oxygen Therapy for Chronic Lung Disease in Extremely Low-Birth-Weight Infants FREE

Bonnie B. Hudak, MD; Marilee C. Allen, MD; Mark L. Hudak, MD; Gerald M. Loughlin, MD
[+] Author Affiliations

Accepted for publication December 1, 1988.

Reprint requests to CMSC 141, The Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21205 (Dr B. Hudak).


Am J Dis Child. 1989;143(3):357-360. doi:10.1001/archpedi.1989.02150150115028.
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References
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• Chronic lung disease that requires prolonged oxygen therapy commonly complicates the recovery of extremely low-birth-weight infants (<1000 g). We report follow-up data through 18.5±0.9 (mean±SEM) months of age in 30 extremely low-birth-weight infants (birth weight, 783±24 g; gestational age, 26.0±0.3 weeks) who were discharged home receiving supplemental oxygen. Oxygen was prescribed to maintain arterial oxygen saturation at 95% or greater. At discharge, postconceptional age was 40.5±0.6 weeks, and weight was 2220±50 g. Duration of home oxygen therapy was 4.5±0.5 months. The mean weight percentile increased from less than 5 to 23 between discharge and the last follow-up. All infants survived; only 6 required hospitalization for acute medical illnesses. We conclude that carefully supervised home oxygen therapy permits the safe early discharge of selected extremely low-birth-weight infants with chronic lung disease.

(AJDC. 1989;143:357-360)

REFERENCES

1 +
Halliday HL, Dumpit FM, Brady JP.  Effects of inspired oxygen on echocardiographic assessment of pulmonary vascular resistance and myocardial contractility in bronchopulmonary dysplasia . Pediatrics . 1980;;65:536-540.
2 +
Abman SH, Wolfe RR, Accurso FJ, Koops BL, Bowman CM, Wiggins JW Jr.  Pulmonary vascular response to oxygen in infants with severe bronchopulmonary dysplasia . Pediatrics . 1985;;75:80-84.
3 +
Goodman G, Perkin RM, Anas NG, Sperling DR, Hicks DA, Rowen M.  Pulmonary hypertension in infants with bronchopulmonary dysplasia . J Pediatr . 1988;;112:67-72.
4 +
Garg M, Kurzner SI, Bautista DB, Keens TG.  Clinically unsuspected hypoxia during sleep and feeding in infants with bronchopulmonary dysplasia . Pediatrics . 1988;;81:635-642.
5 +
Loughlin GM, Allen PR, Pyzik P. Sleep related hypoxemia in children with bronchopulmonary dysplasia and adequate oxygen saturation awake. Presented at the Fifth International Congress of Sleep Research; June 28, 1987; Copenhagen, Denmark.
6 +
Abman SH, Accurso FJ, Koops BL.  Experience with home oxygen in the management of infants with bronchopulmonary dysplasia . Clin Pediatr . 1984;;23:471-476.
7 +
Daily DK.  Home oxygen therapy for infants with bronchopulmonary dysplasia: growth and development . Perinatol Neonatol . 1987;;11:26-35.
8 +
Koops BL, Abman SH, Accurso FJ.  Out-patient management and follow-up of bronchopulmonary dysplasia . Clin Perinatol . 1984;;11:101-122.
9 +
Campbell AN, Zarfin Y, Groenveld M, Bryan MH.  Low flow oxygen therapy in infants . Arch Dis Child . 1983;;58:795-798.
10 +
Groothuis JR, Rosenberg AA.  Home oxygen promotes weight gain in infants with bronchopulmonary dysplasia . AJDC . 1987;;141:992-995.
11 +
Bancalari E, Abdenour GE, Feller R, Gannon J.  Bronchopulmonary dysplasia: clinical presentation . J Pediatr . 1979;;95:819-823.
12 +
Zar JH. Biostatistical Analysis . 2nd ed. Englewood Cliffs, NJ: Prentice Hall International Inc; 1984;.
13 +
Yu VYH, Orgill AA, Lim SB, Bajuk B, Astbury J.  Growth and development of very low birth-weight infants recovering from bronchopulmonary dysplasia . Arch Dis Child . 1983;;58:791-794.
14 +
Kimble KJ, Ariagno RL, Stevenson DK, Sunshine P.  Growth to age 3 years among very low-birth-weight sequelae-free survivors of modern neonatal intensive care . J Pediatr . 1982;;100:622-624.
15 +
Pape KE, Buncic RJ, Ashby S, Fitzhardinge PM.  The status at two years of low-birth-weight infants born in 1974 with birth weights of less than 1001 gm . J Pediatr . 1978;;92:253-260.
16 +
Ramanathan R, Durand M, Larrazabal C.  Pulse oximetry in very low birth weight infants with acute and chronic lung disease . Pediatrics . 1987;;79:612-617.
17 +
Flynn JT.  Retinopathy of prematurity . Pediatr Clin North Am . 1987;;34:1487-1516.
18 +
Kurzner SI, Garg M, Bautista DB, Sargent CW, Bowman CM, Keens TG.  Growth failure in bronchopulmonary dysplasia: Elevated metabolic rates and pulmonary mechanics . J Pediatr . 1988;;112:73-80.
19 +
Weinstein MR, Oh W.  Oxygen consumption in infants with bronchopulmonary dysplasia . J Pediatr . 1981;;99:958-960.
20 +
Lifschitz MH, Seilheimer DK, Wilson GS, Williamson WD, Thurber SA, Desmond MM.  Neurodevelopmental status of low birth weight infants with bronchopulmonary dysplasia requiring prolonged oxygen supplementation . J Perinatol . 1987;;7:127-132.
21 +
McCormick MC, Shapiro S, Starfield BH.  Rehospitalization in the first year of life for high-risk survivors . Pediatrics . 1980;;66:991-999.
22 +
Werthammer J, Brown ER, Neff RK, Taeusch HW.  Sudden infant death syndrome in infants with bronchopulmonary dysplasia . Pediatrics . 1982;;69:301-304.
23 +
Garg M, Kurzner SI, Bautista D, Keens TG.  Hypoxic arousal responses in infants with bronchopulmonary dysplasia . Pediatrics . 1988;;82:59-63.
24 +
Pinney MA, Cotton EK.  Home management of bronchopulmonary dysplasia . Pediatrics . 1976;; 58:856-859.
25 +
Donn S.  Cost effectiveness of home management of bronchopulmonary dysplasia . Pediatrics . 1982;;70:330-331.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

1 +
Halliday HL, Dumpit FM, Brady JP.  Effects of inspired oxygen on echocardiographic assessment of pulmonary vascular resistance and myocardial contractility in bronchopulmonary dysplasia . Pediatrics . 1980;;65:536-540.
2 +
Abman SH, Wolfe RR, Accurso FJ, Koops BL, Bowman CM, Wiggins JW Jr.  Pulmonary vascular response to oxygen in infants with severe bronchopulmonary dysplasia . Pediatrics . 1985;;75:80-84.
3 +
Goodman G, Perkin RM, Anas NG, Sperling DR, Hicks DA, Rowen M.  Pulmonary hypertension in infants with bronchopulmonary dysplasia . J Pediatr . 1988;;112:67-72.
4 +
Garg M, Kurzner SI, Bautista DB, Keens TG.  Clinically unsuspected hypoxia during sleep and feeding in infants with bronchopulmonary dysplasia . Pediatrics . 1988;;81:635-642.
5 +
Loughlin GM, Allen PR, Pyzik P. Sleep related hypoxemia in children with bronchopulmonary dysplasia and adequate oxygen saturation awake. Presented at the Fifth International Congress of Sleep Research; June 28, 1987; Copenhagen, Denmark.
6 +
Abman SH, Accurso FJ, Koops BL.  Experience with home oxygen in the management of infants with bronchopulmonary dysplasia . Clin Pediatr . 1984;;23:471-476.
7 +
Daily DK.  Home oxygen therapy for infants with bronchopulmonary dysplasia: growth and development . Perinatol Neonatol . 1987;;11:26-35.
8 +
Koops BL, Abman SH, Accurso FJ.  Out-patient management and follow-up of bronchopulmonary dysplasia . Clin Perinatol . 1984;;11:101-122.
9 +
Campbell AN, Zarfin Y, Groenveld M, Bryan MH.  Low flow oxygen therapy in infants . Arch Dis Child . 1983;;58:795-798.
10 +
Groothuis JR, Rosenberg AA.  Home oxygen promotes weight gain in infants with bronchopulmonary dysplasia . AJDC . 1987;;141:992-995.
11 +
Bancalari E, Abdenour GE, Feller R, Gannon J.  Bronchopulmonary dysplasia: clinical presentation . J Pediatr . 1979;;95:819-823.
12 +
Zar JH. Biostatistical Analysis . 2nd ed. Englewood Cliffs, NJ: Prentice Hall International Inc; 1984;.
13 +
Yu VYH, Orgill AA, Lim SB, Bajuk B, Astbury J.  Growth and development of very low birth-weight infants recovering from bronchopulmonary dysplasia . Arch Dis Child . 1983;;58:791-794.
14 +
Kimble KJ, Ariagno RL, Stevenson DK, Sunshine P.  Growth to age 3 years among very low-birth-weight sequelae-free survivors of modern neonatal intensive care . J Pediatr . 1982;;100:622-624.
15 +
Pape KE, Buncic RJ, Ashby S, Fitzhardinge PM.  The status at two years of low-birth-weight infants born in 1974 with birth weights of less than 1001 gm . J Pediatr . 1978;;92:253-260.
16 +
Ramanathan R, Durand M, Larrazabal C.  Pulse oximetry in very low birth weight infants with acute and chronic lung disease . Pediatrics . 1987;;79:612-617.
17 +
Flynn JT.  Retinopathy of prematurity . Pediatr Clin North Am . 1987;;34:1487-1516.
18 +
Kurzner SI, Garg M, Bautista DB, Sargent CW, Bowman CM, Keens TG.  Growth failure in bronchopulmonary dysplasia: Elevated metabolic rates and pulmonary mechanics . J Pediatr . 1988;;112:73-80.
19 +
Weinstein MR, Oh W.  Oxygen consumption in infants with bronchopulmonary dysplasia . J Pediatr . 1981;;99:958-960.
20 +
Lifschitz MH, Seilheimer DK, Wilson GS, Williamson WD, Thurber SA, Desmond MM.  Neurodevelopmental status of low birth weight infants with bronchopulmonary dysplasia requiring prolonged oxygen supplementation . J Perinatol . 1987;;7:127-132.
21 +
McCormick MC, Shapiro S, Starfield BH.  Rehospitalization in the first year of life for high-risk survivors . Pediatrics . 1980;;66:991-999.
22 +
Werthammer J, Brown ER, Neff RK, Taeusch HW.  Sudden infant death syndrome in infants with bronchopulmonary dysplasia . Pediatrics . 1982;;69:301-304.
23 +
Garg M, Kurzner SI, Bautista D, Keens TG.  Hypoxic arousal responses in infants with bronchopulmonary dysplasia . Pediatrics . 1988;;82:59-63.
24 +
Pinney MA, Cotton EK.  Home management of bronchopulmonary dysplasia . Pediatrics . 1976;; 58:856-859.
25 +
Donn S.  Cost effectiveness of home management of bronchopulmonary dysplasia . Pediatrics . 1982;;70:330-331.

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