Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia.,Journal of Perinatology

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Impact of tracheostomy on language and cognitive development in infants with severe bronchopulmonary dysplasia.
Journal of Perinatology ( IF 2.4 ) Pub Date : 2019-10-28 , DOI: 10.1038/s41372-019-0540-5
Betsy Cammack ₁ , Janelle Noel-MacDonnell ₂ , Alain Cuna ₁ , Winston Manimtim ₁

Affiliation

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.

中文翻译：

气管切开术对患有严重支气管肺发育不良的婴儿的语言和认知发展的影响。

目的气管切开术对患有严重支气管肺发育不良（BPD）的婴儿的语言和认知发展的影响尚不清楚。我们假设气管切开术对患有严重BPD的婴儿的语言和认知发展具有独立的负面影响。研究设计这是一项回顾性队列研究，对年龄小于2岁并接受气管切开术的严重BPD婴儿与未进行气管切开术的严重BPD婴儿进行比较。衡量的主要结果是2-3岁时的语言和认知总得分，由贝利婴儿和幼儿发展量表（第3版）确定。结果共分析了26例气管切开术患者和28例无气管切开术患者。气管切开术的患者和没有气管切开术的患者在总语言发展或认知发展上没有显着差异。保险身份在控制trach身份时会影响语言和认知。结论气管切开术不会独立影响严重BPD婴儿的语言和认知发展。

更新日期：2019-10-28

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