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Respiratory morbidity of preterm infants of less than 33 weeks gestation without bronchopulmonary dysplasia: a 12-month follow-up of the CASTOR study cohort

Abstract : The aim of this study was to describe the incidence and risk factors for respiratory morbidity during the 12-month period following the first respiratory syncytial virus (RSV) season in 242 preterm infants [<33 weeks gestational age (GA)] without bronchopulmonary dysplasia and 201 full-term infants (39-41 weeks GA) from the French CASTOR study cohort. Preterm infants had increased respiratory morbidity during the follow-up period compared to full-terms; they were more likely to have wheezing (21% vs. 11%, P = 0•007) and recurrent wheezing episodes (4% vs. 1%, P = 0•049). The 17 infants (14 preterms, three full-terms) who had been hospitalized for RSV-confirmed bronchiolitis during their first RSV season had significantly more wheezing episodes during the follow-up period than subjects who had not been hospitalized for RSVconfirmed bronchiolitis (odds ratio 4•72, 95% confidence interval 1•71-13•08, P = 0•003). Male gender, birth weight <3330 g and hospitalization for RSV bronchiolitis during the infant's first RSV season were independent risk factors for the development of wheezing episodes during the subsequent 12-month follow-up period.
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Submitted on : Thursday, June 3, 2021 - 1:32:28 PM
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B Fauroux, Jean-Bernard Gouyon, J-C Roze, C Guillermet-Fromentin, I Glorieux, et al.. Respiratory morbidity of preterm infants of less than 33 weeks gestation without bronchopulmonary dysplasia: a 12-month follow-up of the CASTOR study cohort. Epidemiology and Infection, Cambridge University Press (CUP), 2013, 142 (07), pp.1362 - 1374. ⟨10.1017/s0950268813001738⟩. ⟨hal-03248098⟩

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