Lung Diseases Clinical Trial
To measure the cardiopulmonary function in individuals who developed bronchopulmonary dysplasia (BPD) at Stanford University Medical Center from 1964-1973 and to determine the factors associated with the presence of cardiopulmonary function abnormalities in these adolescents and young adults.
BACKGROUND:
Eleven to 22 percent of prematurely born human infants with Respiratory Distress Syndrome
(RDS) treated with artificial ventilation and supplemental oxygen therapy, develop a severe
chronic lung disease called bronchopulmonary dysplasia. While many children who had BPD are
asymptomatic by three years of age, some can have respiratory symptoms and abnormal
pulmonary function tests at nine years of age. The hypothesis tested in this study is that
abnormalities of pulmonary function seen in infants with BPD can persist into adolescence,
even in asymptomatic children and young adults.
DESIGN NARRATIVE:
A detailed interval pulmonary history was taken. Pulmonary abnormalities were determined by
pulmonary angiography and lateral chest x-ray and pulmonary function tests for small airway
obstruction, reversible bronchial hyperreactivity, distribution of ventilation, air trapping
and hyperinflation, residual interstitial disease or edema, vascular bed loss, and gas
exchange. Right and left ventricular hypertrophy were evaluated by electrocardiogram.
Elevated right ventricular pressure was estimated by echocardiography with doppler
ultrasound. The atopic status of the children was determined. Other abnormalities, including
growth retardation, developmental delay, hearing loss, retrolental fibroplasia, and
neurologic disability seen in BPD were assessed by history and physical examination.
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