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Published on: October 31, 2025
Outcome of infants with bronchopulmonary dysplasia
Dwi Kisworo Setyowireni1, Roni Naning1, Rina Triasih1
1Department of Child Health, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Dr. Sardjito Hospital, Yogyakarta, Indonesia.
Insights
Infants with bronchopulmonary dysplasia (BPD) face a high mortality risk, with nearly half dying within seven months. Prematurity (post-menstrual age < 28 weeks) significantly increases this risk, while mechanical ventilation may offer protection.
Area of Science:
- Neonatology
- Pediatric Pulmonology
- Public Health
Background:
- Bronchopulmonary dysplasia (BPD) is the most common chronic lung disease in infants.
- Yogyakarta, Indonesia, presents a specific demographic for studying BPD outcomes.
Purpose of the Study:
- To evaluate the outcomes of infants diagnosed with BPD in Yogyakarta.
- To identify predictors of mortality in infants with BPD.
Main Methods:
- Retrospective cohort study of infants with BPD (Jan 2015-Dec 2020).
- Medical records review and clinical assessment including echocardiogram for survivors.
- Multivariate logistic regression analysis to determine mortality predictors.
Main Results:
- 1.2% of 8,490 newborns developed BPD; 48.2% of 85 infants with complete data died within 7 months.
- Neonatal sepsis and congenital heart disease were common comorbidities.
- Post-menstrual age < 28 weeks (OR 5.27) and mechanical ventilation (OR 0.26) were independent predictors of mortality.
Conclusions:
- Nearly half of infants with BPD died within seven months.
- Post-menstrual age less than 28 weeks is a significant risk factor for mortality.
- Mechanical ventilation demonstrated a protective effect against mortality in this cohort.
Background:
Bronchopulmonary dysplasia (BDP) is the most common chronic lung disease in infants. The study aimed to evaluate the outcome of infants diagnosed with BPD in Yogyakarta, Indonesia.
Material And Methods:
A retrospective cohort study was conducted by reviewing the medical records of infants with BPD born between January 2015 and December 2020 at Dr. Sardjito General Hospital in Yogyakarta, Indonesia. Surviving children were invited for clinical assessment and echocardiogram. A multivariate logistic regression analysis was used to identify predictors of mortality.
Results:
Among 8,490 newborns hospitalized in the Perinatal ward, 100 (1.2%) developed BPD, with neonatal sepsis and congenital heart disease as the most prevalent comorbidities. Of the 85 infants with complete data, 41 (48.2%) died within 7 months. Multivariate analysis revealed that post-menstrual age (PMA) < 28 weeks and mechanical ventilation as independent predictors of mortality, with adjusted odds ratios (ORs) (95% CI) of 5.27 (1.36-20.43) and 0.26 (0.09-0.75), respectively.
Conclusions:
Nearly half of the infants diagnosed with BPD died within the first seven months of life. PMA < 28 weeks was associated with increased mortality risk, while mechanical ventilation showed a protective effect against mortality in infants with BPD.
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