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Development of a Neonatal Piglet Acute Lung Injury Model Recreating the Early Environment of Preterm Infant Lungs
Published on: October 31, 2025
[Prognosis of bronchopulmonary dysplasia in preterm infants: a follow-up during infancy]
Hong-Ling Wei1, Yan Xing, Hui Wu
1Department of Pediatrics, Peking University Third Hospital, Beijing 100191, China. xingyan770424@vip.sina.com.
Insights
Infants with bronchopulmonary dysplasia (BPD) experience slower growth and delayed motor development. They are also more prone to respiratory illnesses like pneumonia and wheezing during infancy.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Developmental Pediatrics
Background:
- Bronchopulmonary dysplasia (BPD) is a chronic lung disease affecting preterm infants.
- BPD can impact long-term physical and neurodevelopmental outcomes.
- Understanding these impacts is crucial for comprehensive infant care.
Purpose of the Study:
- To assess physical development in infants with BPD.
- To determine the incidence of common respiratory diseases in BPD infants.
- To evaluate motor development trajectories in infants with BPD.
Main Methods:
- Retrospective analysis of clinical data from preterm infants with and without BPD.
- Comparison of physical growth, respiratory illness incidence, and motor development.
- Data collected from infants admitted between January 2012 and December 2015.
Main Results:
- BPD infants showed higher rates of extrauterine growth retardation and readmissions for respiratory infections.
- Significantly smaller head circumference was observed in BPD infants at 3, 6, and 12 months.
- Delayed gross, fine, and overall motor development noted at 6 and 9 months in BPD infants.
Conclusions:
- Infants with BPD are at increased risk for growth deficits and respiratory complications.
- Slower head circumference growth and delayed motor milestones are characteristic of BPD.
- Early identification and intervention are vital for managing BPD-related developmental challenges.
Objective:
To investigate the physical development, incidence of common respiratory diseases, and motor development during infancy in preterm infants with bronchopulmonary dysplasia (BPD).
Methods:
A retrospective analysis was performed on the clinical features and infantile outcomes of preterm infants with BPD who were admitted to the neonatal intensive care unit between January 2012 and December 2015. Preterm infants without BPD were used as controls who were admitted to the neonatal intensive care unit during the same period and had similar gestational age and birth weight. Physical development, number of hospital stays, the incidences of pneumonia and wheezing, and motor development during infancy were compared between the two groups.
Results:
Compared with the control group, BPD infants had a significantly higher incidence of extrauterine growth retardation at discharge (48% vs 41%; P<0.05); BPD infants were more susceptible to pneumonia, wheezing, eczema and rhinitis; BDP infants also had a significantly higher number of readmissions due to respiratory tract infection (P<0.05). BPD infants had a significantly smaller head circumference than the control group at corrected ages of 3, 6, and 12 months (P<0.05). BPD infants had significantly delayed gross, fine, and overall motor development than the control group at corrected ages of 6 and 9 months (P<0.05).
Conclusions:
Infants with BPD are susceptible to extrauterine growth retardation at discharge. Their head circumference growth is relatively slow. They are susceptible to pneumonia and wheezing during infancy. Moreover, they have delayed motor development when compared with those without BPD at corrected ages of 6 and 9 months.
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