Characteristics of home oxygen therapy for preterm infants with bronchopulmonary dysplasia in China: results of a multicenter cohort study
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Published:2022-08-11
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Volume:
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ISSN:1708-8569
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Container-title:World Journal of Pediatrics
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language:en
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Short-container-title:World J Pediatr
Author:
Jiang Wen-Xing, Wang Yan-Chen, Song Hong-Xia, Xiao Mi, He Fan, Jiang Si-Yuan, Gu Xin-Yue, Sun Jian-Hua, Cao Yun, Zhou Wen-Hao, Lee Shoo Kim, Chen Li-Ping, Hu Li-YuanORCID, Lee Shoo K., Chen Chao, Du Li-Zhong, Zhou Wen-Hao, Cao Yun, Xu Fa-Lin, Tian Xiu-Ying, Zhang Hua-Yan, Ji Yong, Li Zhan-Kui, Shi Jing-Yun, Xue Xin-Dong, Yang Chuan-Zhong, Chen Dong-Mei, Wang San-Nan, Liu Ling, Gao Xi-Rong, Wu Hui, Yang Chang-Yi, Han Shu-Ping, Shan Ruo-Bing, Jiang Hong, Qiu Gang, Wei Qiu-Fen, Cheng Rui, Kang Wen-Qing, Li Ming-Xia, Dai Yi-Heng, Wang Li-Li, Liu Jiang-Qin, Lin Zhen-Lang, Shi Yuan, Cheng Xiu-Yong, Pan Jia-Hua, Zhang Qin, Feng Xing, Zhou Qin, Li Long, Chen Ping-Yang, Li Xiao-Ying, Yang Ling, Zhuang De-Yi, Zhang Yong-Jun, Sun Jian-Hua, Feng Jin-Xing, Li Li, Lin Xin-Zhu, Qiu Yin-Ping, Liang Kun, Ma Li, Chen Li-Ping, Zhang Li-Yan, Song Hong-Xia, Yin Zhao-Qing, Hei Ming-Yan, Huang Hui-Wen, Yang Jie, Li Dong, Ding Guo-Fang, Wang Ji-Mei, Zhang Qian-Shen, Ma Xiao-Lu, Ting Joseph Y.,
Abstract
Abstract
Background
Home oxygen therapy (HOT) is indicated upon discharge in some preterm infants with severe bronchopulmonary dysplasia (BPD). There is a lack of evidence-based consensus on the indication for HOT among these infants. Because wide variation in the institutional use of HOT exists, little is known about the role of regional social-economic level in the wide variation of HOT.
Methods
This was a secondary analysis of Chinese Neonatal Network (CHNN) data from January 1, 2019 to December 31, 2019. Infants at gestational ages < 32 weeks, with a birth weight < 1500 g, and with moderate or severe BPD who survived to discharge from tertiary hospitals located in 25 provinces were included in this study. Infants with major congenital anomalies and those who were discharged against medical advice were excluded.
Results
Of 1768 preterm infants with BPD, 474 infants (26.8%) were discharged to home with oxygen. The proportion of HOT use in participating member hospitals varied from 0 to 89%, with five of 52 hospitals’ observing proportions of HOT use that were significantly greater than expected, with 14 hospitals with observing proportions significantly less than expected, and with 33 hospitals with appropriate proportions. We noted a negative correlation between different performance groups of HOT and median GDP per capita (P = 0.04).
Conclusions
The use of HOT varied across China and was negatively correlated with the levels of provincial economic levels. A local HOT guideline is needed to address the wide variation in HOT use with respect to different regional economic levels in countries like China.
Funder
Canadian Institutes of Health Research
Publisher
Springer Science and Business Media LLC
Subject
Pediatrics, Perinatology and Child Health
Reference33 articles.
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