支氣管肺發育不良嬰兒與兒童之耳科結局

// Otologic outcomes in infants and children with bronchopulmonary dysplasia

回顧924名BPD（支氣管肺發育不良）兒童以Jensen分級｜重度BPD與永久性聽損風險增加，傳導性/中耳病變/置管率無差異｜僅57%完成診斷性聽力評估，低COI（兒童機會指數）預測完成率較低，需加強高風險與弱勢社區追蹤與就醫公平

// We retrospectively studied 924 children (0–8 years) with bronchopulmonary dysplasia (BPD) at one center, grouped by Jensen severity, and examined newborn hearing screening, diagnostic audiology, middle ear pathology, and time to tympanostomy while adjusting for gestational age and birthweight. Newborn screening results varied by BPD severity and more severe BPD was linked to a higher risk of permanent hearing loss, while rates of conductive loss, middle ear disease, and surgical management did not differ by severity. Only 57% received recommended diagnostic audiology, and low Childhood Opportunity Index (COI) independently predicted lower odds of completing diagnostic evaluation. Infants with more severe BPD need close hearing monitoring, and children from low-opportunity neighborhoods face reduced access to otologic care, indicating a need for equitable follow-up strategies.

Published 2026年9月10日