Epidemiology of bronchopulmonary dysplasia

Erik A Jensen1, Barbara Schmidt

  • 1Division of Neonatology, The Children's Hospital of Philadelphia and University of Pennsylvania, Philadelphia, Pennsylvania.

Insights

Bronchopulmonary dysplasia (BPD) is a common complication of preterm birth, affecting infants with low birth weight. This review covers BPD

Area of Science:

  • Neonatal Medicine
  • Pediatric Pulmonology
  • Perinatal Health

Background:

  • Bronchopulmonary dysplasia (BPD) is a significant complication affecting premature infants.
  • It impacts at least 25% of infants born weighing less than 1500 grams.
  • Incidence correlates with reduced gestational age and lower birth weight.

Purpose of the Study:

  • To review the diagnostic criteria for BPD.
  • To summarize the incidence and risk factors associated with BPD.
  • To discuss the long-term outcomes of BPD in affected infants.

Main Methods:

  • Literature review of existing studies on Bronchopulmonary dysplasia.
  • Synthesis of data on diagnostic standards, prevalence, and contributing factors.
  • Analysis of reported long-term consequences for infants with BPD.

Main Results:

  • BPD is a frequent and severe outcome of preterm birth.
  • Key risk factors include prematurity, low birth weight, intrauterine growth restriction, sepsis, and prolonged mechanical ventilation/oxygen support.
  • Diagnosis of BPD is linked to chronic respiratory issues and developmental delays.

Conclusions:

  • Bronchopulmonary dysplasia presents substantial challenges in neonatal care.
  • Understanding risk factors and diagnostic criteria is crucial for management.
  • Long-term monitoring is essential due to predicted adverse respiratory and neurodevelopmental outcomes.

Related Concept Videos

Chronic Obstructive Pulmonary Disease I: Introduction01:23

Chronic Obstructive Pulmonary Disease I: Introduction

Chronic obstructive pulmonary disease is a common, preventable, and treatable respiratory disorder characterized by persistent symptoms and progressive airflow limitation. This limitation results from a combination of small-airway disease (obstructive bronchiolitis) and parenchymal destruction (emphysema), both driven by chronic inflammation from exposure to harmful particles or gases.The disease includes two main pathological entities: emphysema, marked by destruction of alveolar walls and...
33
Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features01:24

Chronic Obstructive Pulmonary Disease III: Chronic Bronchitis Features

Chronic bronchitis is a key phenotype of chronic obstructive pulmonary disease (COPD), characterized by airway-centered inflammation and mucus overproduction. It develops from long-term exposure to harmful particles or gases, most commonly cigarette smoke, which triggers a persistent inflammatory response.Cellular and Structural ChangesInflammation initially affects the large bronchi and later the smaller airways, with infiltration by immune cells, including neutrophils, macrophages, and...
40
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
5.2K
Chronic Obstructive Pulmonary Disease-I: Introduction01:20

Chronic Obstructive Pulmonary Disease-I: Introduction

Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
4.0K
Pneumonia I: Introduction01:29

Pneumonia I: Introduction

Pneumonia is an infection of the lower respiratory tract that leads to inflammation of the lung parenchyma, often resulting in the accumulation of inflammatory exudate in the alveoli and airways. Unlike the watery, low-protein fluid exudate in pulmonary edema, the exudate in this case is a thick fluid rich in immune cells, proteins, and debris produced during infection and inflammation.This impairs gas exchange and can lead to consolidation of lung tissue. The infection may be caused by a...
24
Pneumonia I: Introduction01:30

Pneumonia I: Introduction

Pneumonia is an acute respiratory infection that targets the lungs, specifically the alveoli. These tiny air sacs, essential for oxygen exchange, become engorged with pus and fluid, severely hindering breathing, decreasing oxygen absorption, and causing significant pain and discomfort during respiration.
Risk Factors
Various factors influence the likelihood of developing pneumonia. Age plays a crucial role, with infants, children under two, and individuals over 65 at increased risk due to their...
1.5K