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Allergologia et Immunopathologia
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Inicio Allergologia et Immunopathologia Bronchopulmonary dysplasia as a risk factor for asthma in school children and ad...
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Vol. 46. Num. 1.January - February 2018
Pages 1-104
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Vol. 46. Num. 1.January - February 2018
Pages 1-104
Review
DOI: 10.1016/j.aller.2017.02.004
Bronchopulmonary dysplasia as a risk factor for asthma in school children and adolescents: A systematic review
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S. Pérez Tarazonaa,
Corresponding author
saperez@ono.com

Corresponding author.
, P. Solano Galánb, E. Bartoll Alguacilb, J. Alfonso Diegoc
a Division of Neonatology, University & Polytechnic Hospital La Fe, Valencia, Spain
b Pediatric Pulmonology and Allergy Unit, University & Polytechnic Hospital La Fe, Valencia, Spain
c Pediatric Pulmonology and Allergy Unit, University Hospital La Ribera, Alzira, Valencia, Spain
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Tables (4)
Table 1. Association between BPD and asthma in school-children and adolescents. Summary of the studies included in the review.
Table 2. Diagnostic criteria of BPD used in the selected studies.
Table 3. Diagnostic criteria of asthma used in the selected studies.
Table 4. Quality assessment tool for observational cohort and cross-sectional studies.13
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Abstract
Background

Bronchopulmonary dysplasia (BPD) is a chronic lung disease that mainly affects extremely pre-term infants, and remains the most common complication of prematurity. Several studies have shown that prematurity predisposes to the development of asthma in school children and adolescents. Nevertheless, it is not clear to what extent a history of BPD involves an additional risk.

Methods

A systematic review of studies assessing the association between BPD and asthma in school-children and adolescents was made. A literature search was carried out in the MEDLINE and EMBASE databases to retrieve articles published between 1 January 2000 and 31 August 2016.

Results

A total of 17 studies comprising 7433 patients were included in the review. There was considerable heterogeneity in the definitions of BPD and asthma among studies. Overall, the prevalence of asthma was higher in children and adolescents with a history of prematurity and BPD compared with those who did not develop BPD. However, in only one of the studies did this difference reach statistical significance. The main limitation of this review was potential bias due to the lack of adjustment for confounding factors between exposure (BPD) and outcome (asthma) in most of the studies.

Conclusion

Based on the studies reviewed, it cannot be argued that BPD, as an independent factor of prematurity, increases the risk of asthma defined by clinical parameters in school-children and adolescents. Further studies of greater methodological quality and homogeneous diagnostic criteria of BPD and asthma are needed for improved assessment of this association.

Keywords:
Bronchopulmonary dysplasia
Prematurity
Very low birth weight
Asthma
Outcome

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