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[Bronchopulmonary dysplasia: definitions and classifications]
M Sánchez Luna1, J Moreno Hernando, F Botet Mussons
1Comité de Estándares de la Sociedad Española de Neonatología; Servicio de Neonatología, Hospital General Universitario Gregorio Marañón, Madrid, España.
Insights
Bronchopulmonary dysplasia remains a significant concern for very low birth weight infants. This review aims to standardize diagnostic criteria for bronchopulmonary dysplasia to reduce variations in incidence reporting among healthcare centers.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Perinatal Medicine
Context:
- Bronchopulmonary dysplasia (BPD) is a prevalent complication in very low birth weight (VLBW) infants, particularly those of extremely low birth weight (ELBW).
- Despite advancements in respiratory distress syndrome (RDS) management, BPD incidence has not decreased in this vulnerable population, though its clinical presentation has evolved.
- Significant inter-center variability exists in BPD frequency, likely stemming from inconsistent diagnostic criteria.
Purpose:
- To review and standardize the current diagnostic criteria for bronchopulmonary dysplasia (BPD).
- To minimize inter-center discrepancies in BPD diagnosis and reporting.
- To provide a unified standard for the Spanish Society of Neonatology.
Summary:
- Bronchopulmonary dysplasia (BPD) is the most common sequela in very low birth weight infants.
- Current diagnostic criteria for BPD lack uniformity, leading to variations in reported incidence across healthcare facilities.
- This article proposes a standardized approach to BPD diagnosis to ensure consistency.
Impact:
- Aims to reduce inter-center differences in bronchopulmonary dysplasia diagnosis.
- Facilitates more accurate epidemiological studies on BPD.
- Promotes consistent clinical management and research for premature infants affected by BPD.
Abstract:
Bronchopulmonary dysplasia is the most common sequelae related to very low birth weight infants, mostly with those of extremely low birth weight. Even with advances in prevention and treatment of respiratory distress syndrome associated with prematurity, there is still no decrease in the incidence in this population, although a change in its clinical expression and severity has been observed. There are, however, differences in its frequency between health centres, probably due to a non-homogeneously used clinical definition. In this article, the Committee of Standards of the Spanish Society of Neonatology wishes to review the current diagnosis criteria of bronchopulmonary dysplasia to reduce, as much as possible, these inter-centre differences.
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