Document Detail


Health care utilization by preterm infants with respiratory complications in Quebec.
MedLine Citation:
PMID:  22891185     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Despite notable advances in prenatal and neonatal care, respiratory distress syndrome (RDS) and bronchopulmonary dysplasia (BPD) remain important complications of preterm births, and their long-term sequelae are poorly understood.
OBJECTIVE: To describe health care utilization and costs over a 16- to 25-year follow-up period in a cohort of preterm infants with respiratory complications.
METHODS: Using provincial health administrative databases from Quebec, a cohort of individuals who were born prematurely with complications of RDS and⁄or BPD between 1983 and 1992 were identified. From these databases, which cover all Quebec residents, health services use, medication prescriptions, associated diagnoses and costs were tabulated.
RESULTS: A total of 3442 subjects with respiratory complications following preterm birth were identified, of whom 773 had been diagnosed with BPD and 2669 had RDS without BPD. Asthma was diagnosed twice as frequently (1.7 to 2.4 times) in the BPD group compared with the RDS group, with more frequent hospital readmission, and outpatient and emergency room visits. Although respiratory causes remained the main reason for consultation in both groups, 3.7% and 3.4% of the outpatient visits were for mental or psychological ailments, such as depression, attention deficit hyperactivity disorder or dysthymia for the BPD and RDS groups, respectively.
CONCLUSION: BPD patients experienced more hospital admissions, outpatient and emergency rooms visits, and were more likely to suffer from respiratory illnesses and to use respiratory drugs than RDS patients. Neurological and psychiatric complications occurred at a high frequency in both RDS and BPD subjects, and were associated with significant use of antipsychotic and antidepressant medications.
Authors:
Jennifer Sophie Landry; Dan Croitoru; Yulan Jin; Kevin Schwartzman; Andrea Benedetti; Dick Menzies
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Canadian respiratory journal : journal of the Canadian Thoracic Society     Volume:  19     ISSN:  1916-7245     ISO Abbreviation:  Can. Respir. J.     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-08-14     Completed Date:  2013-04-09     Revised Date:  2013-07-12    
Medline Journal Info:
Nlm Unique ID:  9433332     Medline TA:  Can Respir J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  255-60     Citation Subset:  IM    
Affiliation:
Respiratory Epidemiology and Clinicial Research Unit, McGill University, Montreal, Quebec. jennifer.landry@mcgill.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Asthma / epidemiology*
Bronchopulmonary Dysplasia / epidemiology
Cohort Studies
Drug Costs / statistics & numerical data
Female
Health Care Costs / statistics & numerical data
Health Services / economics,  utilization*
Hospitalization / economics,  statistics & numerical data
Humans
Infant, Newborn
Infant, Premature*
Longitudinal Studies
Male
Mental Disorders / epidemiology
Nervous System Diseases / epidemiology
Patient Readmission / economics,  statistics & numerical data
Quebec / epidemiology
Respiration Disorders / epidemiology*
Respiratory Distress Syndrome, Newborn / epidemiology
Young Adult
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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