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Prematurity-associated wheeze: current knowledge and opportunities for further investigation

Pediatric Research volume 94, pages 74–81 (2023)Cite this article

Abstract

Prematurity-associated wheeze is a common complication of preterm birth, with significant impact on the health and healthcare utilization of former preterm infants. This wheezing phenotype remains poorly understood and difficult to predict. This review will discuss the current state of the literature on prematurity-associated wheeze. We will discuss etiology and pathophysiology, and offer two conceptual models for the pathogenesis of this complex condition. This review will also identify current methods of ascertainment, and discuss the strengths and limitations of each. We will explore research-backed approaches to prevention and management, and finally suggest both pre-clinical and clinical avenues for investigation. An in-depth understanding of prematurity-associated wheeze will aid clinicians in its diagnosis and management, and inspire scientists to pursue much-needed further study into causes and prevention of this common and impactful condition.

Impact

  • There is no recent, concise review on the current state of research on prematurity-associated wheeze, which is a rapidly evolving area of study.

  • This article highlights causal models of wheeze, methods of ascertainment, management strategies for the clinician, and opportunities for further research for the physician scientist.

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Fig. 1: Two conceptual theories for the development of prematurity-associated wheeze.

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Article 16 February 2023

Evdokia Dimitriadis, Daniel L. Rolnik, … Ellen Menkhorst

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A.M.H. receives funding from the NHLBI: K24HL143291.

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  1. Rainbow Babies and Children’s Hospital, Cleveland, OH, USA

    Anna P. Crist & Anna Maria Hibbs

  2. Cleveland Clinic Children’s, Cleveland, OH, USA

    Anna P. Crist

  3. Case Western Reserve University School of Medicine, Cleveland, OH, USA

    Anna Maria Hibbs

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Crist, A.P., Hibbs, A.M. Prematurity-associated wheeze: current knowledge and opportunities for further investigation. Pediatr Res 94, 74–81 (2023). https://doi.org/10.1038/s41390-022-02404-1

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