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Paths of causal influence from prenatal inflammation and preterm gestation to childhood asthma symptoms (CROSBI ID 274773)

Prilog u časopisu | izvorni znanstveni rad | međunarodna recenzija

Sindičić Dessardo, Nada ; Mustać, Elvira ; Banac, Srdjan ; Dessardo, Sandro Paths of causal influence from prenatal inflammation and preterm gestation to childhood asthma symptoms // The Journal of asthma, 56 (2019), 8; 823-832. doi: 10.1080/02770903.2018.1493603

Podaci o odgovornosti

Sindičić Dessardo, Nada ; Mustać, Elvira ; Banac, Srdjan ; Dessardo, Sandro

engleski

Paths of causal influence from prenatal inflammation and preterm gestation to childhood asthma symptoms

Long-lasting respiratory symptoms have a huge impact on the quality of life in prematurely born children. The aim was to investigate paths of assumed causality leading from foetal inflammatory response syndrome (FIRS) to asthma symptoms in preterms. Demographic, antenatal, delivery and outcome data were collected from 262 infants with less than 32 completed weeks of gestational age over a 10-year period in a prospective cohort study. The presence of symptoms of asthma beyond the age of 5 years was the primary outcome measure. The causal effect of FIRS on childhood asthma was tested with three different logistic regression models and two structural equation models (SEM). FIRS (OR = 4.7) and subsequent chronic lung disease of prematurity (OR = 7.7) and early childhood wheezing (OR = 9.5) are the most important risk factors for development of asthma symptoms in children born with less than 32 weeks of gestational age. The path analysis showed that FIRS has a large direct (0.59), medium indirect (0.11) and large overall (0.70) effect on CLD ; large negative direct effect on ECW (−0.34) and a large positive indirect effect (0.74), mediated by CLD. On the occurrence of asthma symptoms, FIRS has a medium negative direct effect (−0.18) and a medium positive indirect effect (0.26), mediated by CLD and ECW. Prenatal inflammation plays an important role in the development of chronic respiratory disturbances in preterm infants. This influence is mainly related to structural and developmental lung abnormalities initiated in utero as consequences of FIRS, resulting in CLD of prematurity, and overcoming the protective mechanisms of chorioamnioniti

chorioamnionitis ; prematurity ; chronic lung disease ; early childhood wheezing ; asthma

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Podaci o izdanju

56 (8)

2019.

823-832

objavljeno

0277-0903

1532-4303

10.1080/02770903.2018.1493603

Povezanost rada

Kliničke medicinske znanosti, Temeljne medicinske znanosti

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