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Clinical outcomes at 9-10 years of age in children born with cystic fibrosis transmembrane conductance regulator related metabolic syndrome.
Carroll, Brian J; Ostrenga, Joshua S; Fink, Aliza K; Antos, Nicholas J; Cromwell, Elizabeth A; Ren, Clement L.
Afiliação
  • Carroll BJ; Division of Pulmonary and Sleep Medicine, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Ostrenga JS; Patient Registry Research Division, Cystic Fibrosis Foundation, Bethesda, Maryland, USA.
  • Fink AK; Patient Registry Research Division, Cystic Fibrosis Foundation, Bethesda, Maryland, USA.
  • Antos NJ; Division of Pulmonary and Sleep Medicine, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.
  • Cromwell EA; Patient Registry Research Division, Cystic Fibrosis Foundation, Bethesda, Maryland, USA.
  • Ren CL; Division of Pulmonary and Sleep Medicine, Children's Hospital of Philadelphia, Philadelphia, Pennsylvania, USA.
Pediatr Pulmonol ; 59(6): 1606-1613, 2024 Jun.
Article em En | MEDLINE | ID: mdl-38477633
ABSTRACT
BACKGROUND AND

OBJECTIVES:

There are limited data on cystic fibrosis (CF) transmembrane conductance regulator-related metabolic syndrome (CRMS) outcomes beyond infancy. The goal of this study was to analyze outcomes of infants with CRMS up to the age of 9-10 years using the CF Foundation Patient Registry (CFFPR).

METHODS:

We analyzed data from the CFFPR for individuals with CF and CRMS born between 2010 and 2020. We classified all patients based on the clinical diagnosis reported by the CF care center and the diagnosis using CFF guideline definitions for CF and CRMS, classifying children into groups based on agreement between clinical report and guideline criteria. Descriptive statistics for the cohort were calculated for demographics, nutritional outcomes, and microbiology for the first year of life and lung function and growth outcomes were summarized for ages 6-10 years.

RESULTS:

From 2010 to 2020, there were 8765 children with diagnosis of CF or CRMS entered into the CFFPR with sufficient diagnostic data for classification, of which 7591 children had a clinical diagnosis of CF and 1174 had a clinical diagnosis of CRMS. CRMS patients exhibited normal nutritional indices and pulmonary function up to age 9-10 years. The presence of respiratory bacteria associated with CF, such as Pseudomonas aeruginosa from CRMS patients ranged from 2.1% to 9.1% after the first year of life.

CONCLUSIONS:

Children with CRMS demonstrate normal pulmonary and nutritional outcomes into school age. However, a small percentage of children continue to culture CF-associated respiratory pathogens after infancy.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Regulador de Condutância Transmembrana em Fibrose Cística / Fibrose Cística / Síndrome Metabólica Idioma: En Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Regulador de Condutância Transmembrana em Fibrose Cística / Fibrose Cística / Síndrome Metabólica Idioma: En Ano de publicação: 2024 Tipo de documento: Article