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Published on: October 31, 2025
Bronchopulmonary Dysplasia in Preterm Infants Born at Less Than 32 Weeks Gestation
1The Children's Hospital of Zhejiang University School of Medicine, Hangzhou, China.
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.
Objectives:
Bronchopulmonary dysplasia (BPD) is a chronic pulmonary disorder affecting preterm infants. We studied the factors and echocardiographic evidence of early pulmonary hypertension (PH) associated with moderate or severe BPD.
Methods:
We retrospectively reviewed preterm infants who were born at <32 weeks gestation and admitted to the neonatal intensive care unit at the Children's Hospital of Zhejiang University School of Medicine between July 2013 and July 2015.
Results:
Forty-two preterm infants were enrolled in the study. All the patients received oxygen treatment for a mean of 62.5 ± 28.0 days. The grades of BPD were classified as follows: severe, 35.7%; moderate, 40.5%; and mild, 23.8%. The time of ventilator and oxygen supplementation was longer in infants who developed PH. Severe BPD was related to PH at 28 days.
Conclusions:
These findings support the notion that early pulmonary vascular disease and long-term infection in preterm infants contributes to increased susceptibility for severe BPD.
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