The optimal state scoring tool: guidance for interdisciplinary care of infants with severe bronchopulmonary dysplasia and its relation to linear growth

The optimal state scoring tool: guidance for interdisciplinary care of infants with severe bronchopulmonary dysplasia and its relation to linear growth

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ABSTRACT OBJECTIVE Infants with severe bronchopulmonary dysplasia (sBPD) have complex medical courses. We developed the clinician-rated Optimal State Scoring Tool (OSST) that measures


factors relevant to clinical improvement of sBPD and investigated preliminary validity using linear growth outcome and OSST scores in sBPD patients. METHODS Tool development process and


pilot findings are provided for 13 patients evaluated longitudinally. OSST scores, length measurements, and steroid dependency values were obtained. Changes in OSST scores and lengths were


examined using linear mixed-effect models. RESULTS OSST scores were significantly correlated with linear growth (95% CI 0.36, 0.57). The steroid-dependent group showed significantly slower


rate of linear growth (95% CI 0.74, 1.05) and slower rate of increase in OSST scores (95% CI 0.99, 2.13) compared to the non-steroid-dependent group, with the OSST showing the largest effect


size. CONCLUSION Pilot data reflect promising evidence for OSST construct validity in monitoring clinical outcomes in sBPD patients. Access through your institution Buy or subscribe This is


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AND SAFETY OF REPEAT DEXAMETHASONE FOR BRONCHOPULMONARY DYSPLASIA Article 08 June 2021 BRONCHOPULMONARY DYSPLASIA PREDICTION MODELS: A SYSTEMATIC REVIEW AND META-ANALYSIS WITH VALIDATION


Article Open access 09 January 2023 A REVIEW AND GUIDE TO NUTRITIONAL CARE OF THE INFANT WITH ESTABLISHED BRONCHOPULMONARY DYSPLASIA Article 09 December 2022 DATA AVAILABILITY All data


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Download references ACKNOWLEDGEMENTS We would like to thank Tara Benninger Ph.D., Emily Bingham RD, Jillane Downs MS, APRN, and Melissa Hanin MOT/L for their support and contributions.


AUTHOR INFORMATION AUTHORS AND AFFILIATIONS * Department of Clinical Nutrition & Lactation, Nationwide Children’s Hospital, Columbus, OH, USA Jennifer Curtiss * Department of


Neonatology, Phoenix Children’s Hospital, Phoenix, AZ, USA Pamela Griffiths * Department of Psychology, Nationwide Children’s Hospital, Columbus, OH, USA Kevin G. Stephenson & Margaret


Mehling * Department of Pharmacy Services, Nationwide Children’s Hospital, Columbus, OH, USA Teresa D. Puthoff & Lauren H. Peck * Department of Women’s and Children’s Health, Uppsala


Universitet, Uppsala, Sweden Fredrik Ahlsson * Department of Pediatrics, Nationwide Children’s Hospital, Columbus, OH, USA Roopali Bapat * Department of Neonatology, Nationwide Children’s


Hospital, Columbus, OH, USA Britany Lendrum-Gatten * NICU, Boston Children’s Hospital, Boston, MA, USA Kristen Lindamood * Department of Neonatal Therapy, Nationwide Children’s Hospital,


Columbus, OH, USA Leah Lumbaca, Kelly Susey & Molly Susi * Department of Pediatrics, Women & Infants Hospital of Rhode Island, Providence, RI, USA Barbara S. Stonestreet * Department


of Pediatrics, The Children’s Hospital of Philadelphia, Philadelphia, PA, USA Huayan Zhang * Department of Pediatrics, University of North Carolina System, Chapel Hill, NC, USA Susan Lynch


Authors * Jennifer Curtiss View author publications You can also search for this author inPubMed Google Scholar * Pamela Griffiths View author publications You can also search for this


author inPubMed Google Scholar * Kevin G. Stephenson View author publications You can also search for this author inPubMed Google Scholar * Teresa D. Puthoff View author publications You can


also search for this author inPubMed Google Scholar * Fredrik Ahlsson View author publications You can also search for this author inPubMed Google Scholar * Roopali Bapat View author


publications You can also search for this author inPubMed Google Scholar * Britany Lendrum-Gatten View author publications You can also search for this author inPubMed Google Scholar *


Kristen Lindamood View author publications You can also search for this author inPubMed Google Scholar * Leah Lumbaca View author publications You can also search for this author inPubMed 


Google Scholar * Margaret Mehling View author publications You can also search for this author inPubMed Google Scholar * Lauren H. Peck View author publications You can also search for this


author inPubMed Google Scholar * Barbara S. Stonestreet View author publications You can also search for this author inPubMed Google Scholar * Kelly Susey View author publications You can


also search for this author inPubMed Google Scholar * Molly Susi View author publications You can also search for this author inPubMed Google Scholar * Huayan Zhang View author publications


You can also search for this author inPubMed Google Scholar * Susan Lynch View author publications You can also search for this author inPubMed Google Scholar CONTRIBUTIONS Each author made


substantial contributions to conception and design. JC, TP, BLG, LL, MM, LP, KS, MS, and SL collected and contributed to the interpretation of the data. KGS analyzed and interpreted the data


and reviewed and revised the final manuscript. JC drafted the initial manuscript and reviewed and revised the final manuscript. PG and TP reviewed and revised the initial draft. All authors


approved the final version of the manuscript. CORRESPONDING AUTHOR Correspondence to Jennifer Curtiss. ETHICS DECLARATIONS COMPETING INTERESTS The authors declare no competing interests.


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terms of such publishing agreement and applicable law. Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Curtiss, J., Griffiths, P., Stephenson, K.G. _et al._ The Optimal State


Scoring Tool: guidance for interdisciplinary care of infants with severe bronchopulmonary dysplasia and its relation to linear growth. _J Perinatol_ 43, 1301–1307 (2023).


https://doi.org/10.1038/s41372-023-01680-x Download citation * Received: 01 December 2022 * Revised: 20 March 2023 * Accepted: 13 April 2023 * Published: 25 April 2023 * Issue Date: October


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