One-year outcomes in a multicentre cohort study of incident rare diffuse parenchymal lung disease in children (ChILD).

Cunningham, Steve; Graham, Catriona; MacLean, Morag; Aurora, Paul; Ashworth, Michael; Barbato, Angelo; Calder, Alistair; Carlens, Julia et al. · Thorax · 2020

prospective_cohort · Level II

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Abstract

We performed a prospective, observational, cohort study of children newly diagnosed with children's interstitial lung disease (ChILD), with structured follow-up at 4, 8, 12 weeks and 6 and 12 months. 127 children, median age 0.9 (IQR 0.3-7.9) years had dyspnoea (68%, 69/102), tachypnoea (75%, 77/103) and low oxygen saturation (SpO<sub>2</sub>) median 92% (IQR 88-96). Death (n=20, 16%) was the most common in those <6 months of age with SpO<sub>2</sub><94% and developmental/surfactant disorders. We report for the first time that ChILD survivors improved multiple clinical parameters within 8-12 weeks of diagnosis. These data can inform family discussions and support clinical trial measurements.

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