학술논문

Prematurity-associated wheeze: current knowledge and opportunities for further investigation
Document Type
Review Paper
Source
Pediatric Research: Official publication of the American Pediatric Society, the European Society for Paediatric Research and the Society for Pediatric Research. 94(1):74-81
Subject
Language
English
ISSN
0031-3998
1530-0447
Abstract
Prematurity-associated wheeze is a common complication of preterm birth, with significant impact on the health and healthcare utilization of former preterm infants. This wheezing phenotype remains poorly understood and difficult to predict. This review will discuss the current state of the literature on prematurity-associated wheeze. We will discuss etiology and pathophysiology, and offer two conceptual models for the pathogenesis of this complex condition. This review will also identify current methods of ascertainment, and discuss the strengths and limitations of each. We will explore research-backed approaches to prevention and management, and finally suggest both pre-clinical and clinical avenues for investigation. An in-depth understanding of prematurity-associated wheeze will aid clinicians in its diagnosis and management, and inspire scientists to pursue much-needed further study into causes and prevention of this common and impactful condition.Impact: There is no recent, concise review on the current state of research on prematurity-associated wheeze, which is a rapidly evolving area of study.This article highlights causal models of wheeze, methods of ascertainment, management strategies for the clinician, and opportunities for further research for the physician scientist.