Outcomes at School Age after Postnatal Dexamethasone Therapy for Lung Disease of Prematurity

Tsu F. Yeh, Yuh J. Lin, Hung C. Lin, Chao C. Huang, Wu S. Hsieh, Chyi H. Lin, Cheng H. Tsai

Research output: Contribution to journalArticle

429 Citations (Scopus)

Abstract

BACKGROUND: We studied the outcomes at school age in children who had participated in a double-blind, placebo-controlled trial of early postnatal dexamethasone therapy (initiated within 12 hours after birth) for the prevention of chronic lung disease of prematurity. METHODS: Of the 262 children included in the initial study, 159 lived to school age. Of these children, 146 (72 in the dexamethasone group and 74 in the control group) were included in our study. All the infants had had severe respiratory distress syndrome requiring mechanical ventilation shortly after birth. In the dexamethasone group, 0.25 mg of dexamethasone per kilogram of body weight was given intravenously every 12 hours for one week, and then the dose was tapered. We evaluated the children's growth, neurologic and motor function, cognition, and school performance. RESULTS: Children in the dexamethasone group were significantly shorter than the controls (P=0.03 for boys, P=0.01 for girls, and P=0.03 for all children) and had a significantly smaller head circumference (P=0.04). Children in the dexamethasone group had significantly poorer motor skills (P

Original languageEnglish
Pages (from-to)1304-1313
Number of pages10
JournalNew England Journal of Medicine
Volume350
Issue number13
DOIs
Publication statusPublished - Mar 25 2004
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)

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