None listed
Conditions
Brief summary
Breathing problems persisting into infancy and later life is an important complication of premature birth with lifelong consequences. Breathing problems often occur together with lung disease, but prematurity can also affect heart and blood vessel development, and weakness of the main breathing muscle (the diaphragm). We will find out how much the heart, lung and muscles each contribute to breathing problems, as well as identify factors such as infection, nutrition and treatments that influence these and other long-term outcomes of very preterm birth. This knowledge will help us to better predict, diagnose, treat and prevent adverse outcomes after preterm birth.
Interventions
Observational study of very preterm infants with intermittent physiological evaluation of: - immunological function (birth, 1 d, 7 d, 36 w PMA, 1 yr corrected age) - cardiorespiratory and diaphragm function (primary measurement at 36 w PMA and 1 yr corrected age, with other intermittent measurements as able to be collected) - neurodevelopmental outcome (1 yr) Observations will be correlated with data pertaining to antenatal and postnatal exposures including demographic variables, gestation, ventilation, oxygen, steroids, infection, and nutrition
Sponsors
Eligibility
Inclusion criteria
Inpatient at King Edward Memorial Hospital Born at < 32 w gestation (postmenstrual age) Term comparison group - healthy uncomplicated deliveries between 37 and 42 w postmenstrual age
Exclusion criteria
Informed consent unable to be obtained Major congenital abnormalities likely to impact cardiorespiratory function