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Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia

OBJECTIVE: The impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia (BPD) is not known. We hypothesize that tracheostomy has an independent negative impact on language and cognitive development in infants with severe BPD. STUDY DESIGN: This i...

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Autores principales: Cammack, Betsy, Noel-MacDonnell, Janelle, Cuna, Alain, Manimtim, Winston
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group US 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222892/
https://www.ncbi.nlm.nih.gov/pubmed/31659237
http://dx.doi.org/10.1038/s41372-019-0540-5
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author Cammack, Betsy
Noel-MacDonnell, Janelle
Cuna, Alain
Manimtim, Winston
author_facet Cammack, Betsy
Noel-MacDonnell, Janelle
Cuna, Alain
Manimtim, Winston
author_sort Cammack, Betsy
collection PubMed
description OBJECTIVE: The impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia (BPD) is not known. We hypothesize that tracheostomy has an independent negative impact on language and cognitive development in infants with severe BPD. STUDY DESIGN: This is a retrospective cohort study of de-identified data of infants with severe BPD who received tracheostomy at <2 years of age, compared with infants with severe BPD without tracheostomy. The primary outcomes measured were total language and cognitive scores at 2–3 years of age as determined by Bayley Scales of Infant and Toddler Development, 3rd Edition. RESULTS: A total of 26 patients with tracheostomies and 28 patients without tracheostomies were analyzed. There was no significant difference in total language development or cognitive development between patients with tracheostomies and those without. Insurance status had an effect on language and cognition while controlling for trach status. CONCLUSIONS: Tracheostomy does not independently impact the language and cognitive development of infants with severe BPD.
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spelling pubmed-72228922020-05-15 Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia Cammack, Betsy Noel-MacDonnell, Janelle Cuna, Alain Manimtim, Winston J Perinatol Article OBJECTIVE: The impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia (BPD) is not known. We hypothesize that tracheostomy has an independent negative impact on language and cognitive development in infants with severe BPD. STUDY DESIGN: This is a retrospective cohort study of de-identified data of infants with severe BPD who received tracheostomy at <2 years of age, compared with infants with severe BPD without tracheostomy. The primary outcomes measured were total language and cognitive scores at 2–3 years of age as determined by Bayley Scales of Infant and Toddler Development, 3rd Edition. RESULTS: A total of 26 patients with tracheostomies and 28 patients without tracheostomies were analyzed. There was no significant difference in total language development or cognitive development between patients with tracheostomies and those without. Insurance status had an effect on language and cognition while controlling for trach status. CONCLUSIONS: Tracheostomy does not independently impact the language and cognitive development of infants with severe BPD. Nature Publishing Group US 2019-10-28 2020 /pmc/articles/PMC7222892/ /pubmed/31659237 http://dx.doi.org/10.1038/s41372-019-0540-5 Text en © The Author(s), under exclusive licence to Springer Nature America, Inc. 2019 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.
spellingShingle Article
Cammack, Betsy
Noel-MacDonnell, Janelle
Cuna, Alain
Manimtim, Winston
Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
title Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
title_full Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
title_fullStr Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
title_full_unstemmed Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
title_short Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
title_sort impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222892/
https://www.ncbi.nlm.nih.gov/pubmed/31659237
http://dx.doi.org/10.1038/s41372-019-0540-5
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