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Impaired lung function in 'healthy' preterm infants: Interpretation using new equipment-specific reference equations

Ines de Mir, Olaia Sardon, Paula Corcuera, Manuel Sanchez Solis, Araceli Caballero, Virginia Perez, A.F. Hoo, Janet Stocks, Eduardo Gonzalez Perez-Yarza, Antonio Moreno-Galdó
European Respiratory Journal 2014 44: P1151; DOI:
Ines de Mir
1Pediatric Pulmonology Unit, Hospital Universitari Vall d’Hebron, Barcelona, Spain
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Olaia Sardon
2Division of Respiratory Medicine. Dept of Pediatrics, Hospital Universitario Donostia. University of the Basque Country (UPV/EHU), San Sebastian, Guipuzcoa, Spain
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Paula Corcuera
2Division of Respiratory Medicine. Dept of Pediatrics, Hospital Universitario Donostia. University of the Basque Country (UPV/EHU), San Sebastian, Guipuzcoa, Spain
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Manuel Sanchez Solis
3Pediatric Respiratory Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
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Araceli Caballero
1Pediatric Pulmonology Unit, Hospital Universitari Vall d’Hebron, Barcelona, Spain
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Virginia Perez
3Pediatric Respiratory Unit, Hospital Universitario Virgen de la Arrixaca, Murcia, Spain
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A.F. Hoo
4Portex Respiratory Unit, UCL, Institute for Child Health, London, United Kingdom
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Janet Stocks
4Portex Respiratory Unit, UCL, Institute for Child Health, London, United Kingdom
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Eduardo Gonzalez Perez-Yarza
2Division of Respiratory Medicine. Dept of Pediatrics, Hospital Universitario Donostia. University of the Basque Country (UPV/EHU), San Sebastian, Guipuzcoa, Spain
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Antonio Moreno-Galdó
1Pediatric Pulmonology Unit, Hospital Universitari Vall d’Hebron, Barcelona, Spain
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Abstract

Even in the absence of overt respiratory disease during the neonatal period, reduced lung function has been reported in preterm infants. Meaningful interpretation of such results is, however, dependent on availability of appropriate controls and/or reference equations.

Objectives. To assess the applicability of equipment-specific reference equations in healthy Spanish White fullterm infants, and the impact of preterm delivery on lung function during the first year of life.

Methods. Lung function was measured under chloral sedation in clinically stable and asymptomatic 'healthy' preterm (30-35.8 w) and fullterm babies, using the CareFusionTM Masterscreen BabyBody equipment according to ERS/ATS guidelines. Data were expressed as z-scores to adjust for sex, age and body size (Lum, Ped Pulm 2010; Nguyen, Ped Pulm 2013;).

Results. 79 term and 77 preterm infants were studied at mean (SD) corrected postnatal age of 5.92 (0.8) months (term) and 5.95 (1.01) months (preterm). No differences were found either in tidal breathing parameters or Rrs.

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Conclusions. Mean z-scores for term infants were all within 0.3 z-scores of the predicted published norms, suggesting that these equations are appropriate for Spanish infants Compared to term controls, 'healthy' preterm infants had significantly lower V'maxFRC, FEV0.5 and FEF25-75.

  • Lung function testing
  • Infants
  • © 2014 ERS
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Impaired lung function in 'healthy' preterm infants: Interpretation using new equipment-specific reference equations
Ines de Mir, Olaia Sardon, Paula Corcuera, Manuel Sanchez Solis, Araceli Caballero, Virginia Perez, A.F. Hoo, Janet Stocks, Eduardo Gonzalez Perez-Yarza, Antonio Moreno-Galdó
European Respiratory Journal Sep 2014, 44 (Suppl 58) P1151;

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Impaired lung function in 'healthy' preterm infants: Interpretation using new equipment-specific reference equations
Ines de Mir, Olaia Sardon, Paula Corcuera, Manuel Sanchez Solis, Araceli Caballero, Virginia Perez, A.F. Hoo, Janet Stocks, Eduardo Gonzalez Perez-Yarza, Antonio Moreno-Galdó
European Respiratory Journal Sep 2014, 44 (Suppl 58) P1151;
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