Respiratory Culture Growth and 3-Year Lung Health Outcomes in
Children with BPD and Tracheostomies
Rebecca Steuart, MD, MS1,2, Amy Pan,
PhD3, Abigail Woolums, BS4, Dan
Benscoter, DO, MS4,5, Christopher J. Russell, MD,
MS6,7, Jennifer Henningfeld, MD8,
Joanna Thomson, MD, MPH4,9,10
Affiliations :
1Section of Special Needs, Department of Pediatrics,
Medical College of Wisconsin, Milwaukee, Wisconsin.
2Complex Care Program, Children’s Wisconsin,
Milwaukee, Wisconsin.
3Division of Quantitative Health Sciences, Department
of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
4Department of Pediatrics, University of Cincinnati
College of Medicine; Cincinnati, Ohio.
5Division of Pulmonary Medicine, Cincinnati Children’s
Hospital Medical Center, Cincinnati, Ohio.
6Division of Hospital Medicine, Children’s Hospital of
Los Angeles, Los Angeles, California.
7Department of Pediatrics, Keck School of Medicine,
University of Southern California.
8Section of Pulmonary Medicine, Department of
Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
9Division of Hospital Medicine, Cincinnati Children’s
Hospital Medical Center, Cincinnati, Ohio.
10James M Anderson Center for Health Systems
Excellence, Cincinnati Children’s Hospital Medical Center, Cincinnati,
Ohio.
Corresponding Author : Rebecca Steuart, MD MS, Section of
Special Needs, Medical College of Wisconsin, 9200 W. Wisconsin Ave,
Milwaukee, WI 53226.
E-mail: rsteuart@mcw.edu.
Phone: 414-266-2899. Fax: 414-266-2926. @RebeccaSteuart
Co-Authors Emails :
APan@mcw.edu;
WoolumAE@mail.uc.edu;
NXia@mcw.edu;
Dan.Benscoter@cchmc.org;
CRussell@chla.usc.edu;
JHenningfeld@mcw.edu;
Joanna.Thomson@cchmc.org
This article includes original research. This study was
approved by the Cincinnati Children’s Hospital Medical Center
Institutional Review Board as exempt research.
This article does not include images of people .
Financial Disclosure : The authors have no financial
relationships relevant to this article to disclose.
Funding Sources : Dr.
Steuart was supported by The Gerber Foundation via a Novice Researcher
Award for this project. Dr. Thomson was supported by the Agency for
Healthcare Research and Quality under award number K08HS025138.
Potential Conflicts of Interest : The authors have no conflicts
of interest relevant to this article to disclose.
Key Words : Bronchopulmonary dysplasia, Pseudomonas aeruginosa,
Respiratory Culture, Tracheostomy
Abbreviations : ARI, acute respiratory infection; BPD,
bronchopulmonary dysplasia; CLDI, chronic lung disease of infancy; CCC,
complex chronic condition; CCHMC, Cincinnati Children’s Hospital Medical
Center; CI, confidence interval; COPD, chronic obstructive pulmonary
disease; EMR: electronic medical record; ICD-9, International
Classification of Diseases, Ninth Revision; ICD-10, International
Classification of Diseases, Tenth Revision; IQR: interquartile range;
RR, risk ratio, aRR, adjusted risk ratio.
Word Count: 3,500 / 3,500