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Protocol and Guidelines for Point-of-Care Lung Ultrasound in Diagnosing Neonatal Pulmonary Diseases Based on International Expert Consensus
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Are infants with bronchopulmonary dysplasia at risk for sudden infant death syndrome?

P H Gray1, Y Rogers

  • 1Department of Neonatology, Mater Mothers' Hospital, South Brisbane, Queensland, Australia.

Pediatrics
|May 1, 1994
PubMed

Insights

Preterm infants with bronchopulmonary dysplasia (BPD) are not at higher risk for sudden infant death syndrome (SIDS) or apparent life-threatening events (ALTE). Close monitoring and home oxygen support may mitigate risks in these vulnerable infants.

Area of Science:

  • Neonatology
  • Pediatric Pulmonology
  • Perinatal Medicine

Background:

  • Bronchopulmonary dysplasia (BPD) is a chronic lung disease in preterm infants.
  • Changing patterns of chronic lung disease necessitate re-evaluation of risks.
  • Sudden infant death syndrome (SIDS) and apparent life-threatening events (ALTE) are critical concerns in preterm infants.

Purpose of the Study:

  • To compare SIDS and ALTE incidence in infants with BPD versus matched controls.
  • To assess risks in the context of evolving chronic lung disease management.
  • To evaluate the impact of current management strategies on SIDS/ALTE risk.

Main Methods:

  • Study included 78 preterm infants (26-33 weeks gestation) with BPD and 78 birth weight-matched controls.
  • Infants requiring home oxygen were identified.
  • ALTE occurrence was assessed via parent interviews at a minimum of 8 months follow-up.

Main Results:

  • No deaths occurred during follow-up.
  • ALTE incidence was similar between the BPD group (8.9%) and control group (10.5%).
  • No infants discharged on home oxygen experienced an ALTE.

Conclusions:

  • Preterm infants with BPD do not appear to have an increased risk of SIDS compared to controls.
  • Close oxygen monitoring and home oxygen therapy may reduce unrecognized hypoxemia.
  • Routine home monitoring for all BPD infants may not be necessary.
Abstract

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