Speech and language outcomes of children with bronchopulmonary dysplasia.
A prospective follow-up of very low birth weight infants (VLBW) with (n = 89) and without (n = 71) bronchopulmonary dysplasia (BPD) and Term control children (n = 93) was conducted at 8 years of age. Groups were compared on measures of articulation, receptive and expressive language, verbal and performance IQ, oral motor skills and gross and fine motor skills. The BPD group demonstrated reduced articulation, receptive language skills, performance IQ, and overall gross and fine motor skills when compared to VLBW and Term groups. The BPD and VLBW groups did not differ on expressive language, oral motor skills, or verbal IQ. The groups also differed in enrollment in special classes and speech-language therapy, with almost half (48%) of the BPD group enrolled in speech-language therapy compared to 21% of the VLBW group, and 9% of the Term group. These results suggest that BPD may have adverse effects on speech development as well as on performance IQ, motor skills, and receptive language over and above the effects of VLBW.


OBJECTIVE
(1) As a result of this activity the reader will be able to describe what BPD is and how it impacts speech and language. (2) As a result of this activity the reader will be able to discuss how children with VLBW with BPD differ from children with VLBW without BPD in their developmental outcomes.
Department of Pediatrics, School of Medicine, Behavioral Pediatrics and Psychology 6038, Rainbow Babies and Childrens Hospital, Case Western Reserve University, 11100 Euclid Ave., Cleveland, OH 44106, USA. bxl@po.cwru.edu
Barbara A
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Lewis
Lynn T
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Singer
Sarah
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Fulton
Ann
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Salvator
Elizabeth J
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Short
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Klein
Jill
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Baley
D001997:Bronchopulmonary Dysplasia / Q000453:epidemiology*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007231:Infant, Newborn; D007234:Infant, Premature; D019102:Infant, Very Low Birth Weight; D007806:Language Disorders / Q000175:diagnosis / Q000453:epidemiology*; D008297:Male; D011446:Prospective Studies; D012720:Severity of Illness Index; D013064:Speech Disorders / Q000175:diagnosis / Q000453:epidemiology*