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Table 4 Predictors of pulmonary function growth

From: Lung function trajectories in children with post-prematurity respiratory disease: identifying risk factors for abnormal growth

 

FEV1% predicted Δ / year

FVC % predicted Δ / year

FEV1/FVC Δ / year

Neonatal

GA (1 week)

− 0.0038 (− 0.95, 0.95)

1 (− 0.28, 2.4)

− 0.14 (− 0.97, 0.69)

BW (100 g)

0.22 (− 0.43, 0.87)

− 0.071 (− 0.94, 0.8)

0.33 (− 0.19, 0.85)

SGA

− 2.4 (− 7.6, 2.9)

− 1.1 (− 7.5, 5.3)

− 1.2 (− 5.1, 2.7)

Multiple gestation

− 0.00061 (− 2.7, 2.7)

− 2.5 (− 6.3, 1.3)

1 (− 1.4, 3.5)

Antenatal steroids (any)

− 1.6 (− 6, 2.8)

1.3 (− 8.3, 11)

− 3.2 (− 8.6, 2.2)

Antenatal steroids (complete)

1.7 (− 2.6, 5.9)

1 (− 5.4, 7.4)

0.45 (− 3, 3.9)

Surfactant

− 0.77 (− 9.5, 7.9)

4.8 (− 8.2, 18)

− 5.2 (− 13, 2.5)

Ventilated days (1 day)

− 0.026 (− 0.045, − 0.0074)*

− 0.011 (− 0.037, 0.014)

− 0.017 (− 0.03, − 0.0047)*

CPAP days (1 day)

0.011 (− 0.068, 0.09)

0.053 (− 0.05, 0.16)

− 0.026 (− 0.09, 0.038)

PDA

0.29 (− 3.3, 3.9)

− 3.6 (− 8.8, 1.7)

0.6 (− 2.5, 3.7)

PDA ligation

− 0.17 (− 3.1, 2.8)

− 2.1 (− 6.2, 2.1)

3.2 (1.1, 5.3)*

NEC

2.8 (− 0.98, 6.6)

3.3 (− 1.5, 8.1)

1.2 (− 1.7, 4.2)

Severe IVH

− 2.3 (− 9.1, 4.4)

− 2 (− 8.5, 4.5)

− 0.66 (− 6.1, 4.8)

Postnatal steroids (in NICU)

− 2.8 (− 6, 0.44)

− 3.9 (− 7.3, − 0.38)*

− 1.8 (− 5.2, 1.6)

Gastrostomy tube

− 3.4 (− 6.5, − 0.3)*

− 1.2 (− 4.9, 2.4)

0.26 (− 2.4, 2.9)

Tracheostomy

− 4.5 (− 9.3, 0.36)

− 4.7 (− 11, 1.6)

− 4.8 (− 8.3, − 1.3)*

Discharge off breast milk

− 0.55 (− 2.3, 1.2)

1.2 (− 1.3, 3.7)

− 0.19 (− 1.8, 1.4)

Any resp support at 36 weeks

− 2.1 (− 5.8, 1.5)

0.59 (− 4.1, 5.2)

− 1.4 (− 4.4, 1.5)

Any resp support at discharge

− 0.028 (− 2.9, 2.9)

1.3 (− 2.8, 5.3)

− 2.5 (− 4.9, 0.021)

Maternal history

Age

0.16 (− 0.13, 0.45)

0.017 (− 0.38, 0.41)

− 0.008 (− 0.23, 0.21)

Asthma

− 3.2 (− 6, − 0.37)*

− 0.75 (− 5, 3.5)

− 2.1 (− 4.6, 0.36)

Eczema

− 0.13 (− 4.1, 3.8)

0.49 (− 4.5, 5.5)

1.9 (− 1.2, 4.9)

Hay fever

− 0.46 (− 3.9, 3)

− 2.6 (− 7.3, 2)

− 1.4 (− 4.2, 1.3)

Atopy

− 2.9 (− 5.7, − 0.13)*

− 2.1 (− 6.2, 2.1)

− 0.33 (− 2.8, 2.2)

Secondhand smoke exposure at home

1.3 (− 3.7, 6.2)

0.89 (− 5, 6.8)

0.57 (− 3, 4.2)

Follow-up (0–3 year) history (n = 42)

Received palivizumab

− 1.7 (− 13, 9.3)

− 1.3 (− 20, 17)

− 4 (− 15, 6.5)

Received flu vaccination

− 2.8 (− 12, 6.9)

− 0.74 (− 15, 13)

− 2.8 (− 13, 7)

Any ED Visit/hospitalization

2.1 (− 6.4, 11)

− 1.5 (− 16, 13)

0.76 (− 8.5, 10)

Any hospitalization

− 11 (− 23, 1.7)

− 5.3 (− 41, 30)

0.89 (− 12, 14)

Any lower respiratory tract infection

5.2 (− 3.5, 14)

− 10 (− 25, 3.8)

0.74 (− 14, 16)

  1. Multivariable analysis using two staged linear model, controlling for birthweight (BW), gestational age (GA), and first measured spirometry value. Effect β represents, controlling for above, change in lung function outcome per unit change in risk factor. *p < 0.05. SGA Small for gestational age; PDA patent ductus arteriosus; NEC necrotizing enterocolitis. When unit is listed next to risk factor, it indicates unit change for corresponding effect size on spirometry result