Bronchopulmonary Dysplasia in Preterm Infants Born at Less Than 32 Weeks Gestation

Yan-Ping Xu1

  • 1The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.

Global Pediatric Health
|October 1, 2016
PubMed

Insights

Bronchopulmonary dysplasia (BPD) in preterm infants is linked to early pulmonary hypertension (PH). Prolonged oxygen and ventilator use, along with vascular disease, increase the risk of severe BPD and PH.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Cardiology

Background:

  • Bronchopulmonary dysplasia (BPD) is a significant chronic respiratory condition in premature infants.
  • Pulmonary hypertension (PH) is a serious complication that can arise in infants with BPD.

Purpose of the Study:

  • To investigate factors associated with early pulmonary hypertension (PH) in preterm infants.
  • To examine echocardiographic evidence of PH in moderate to severe bronchopulmonary dysplasia (BPD).

Main Methods:

  • Retrospective review of preterm infants (<32 weeks gestation) admitted between July 2013 and July 2015.
  • Analysis of clinical data including duration of ventilator and oxygen support.
  • Classification of BPD severity (mild, moderate, severe).

Main Results:

  • Forty-two preterm infants were included in the study.
  • Infants who developed PH required longer durations of ventilator and oxygen therapy.
  • Severe BPD at 28 days was associated with the presence of pulmonary hypertension.

Conclusions:

  • Early pulmonary vascular disease and persistent infections contribute to severe BPD.
  • Findings suggest a link between prolonged respiratory support, vascular complications, and PH in preterm infants with BPD.
Abstract

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