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J Perinatol. 2017 Jul;37(7):853-856. doi: 10.1038/jp.2017.49. Epub 2017 Apr 6.

In-hospital outcomes of premature infants with severe bronchopulmonary dysplasia.

Author information

1
Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
2
Duke Clinical Research Institute, Duke University Medical Center, Durham, NC, USA.
3
Department of Pediatrics, Duke University Medical Center, Durham, NC, USA.
4
Pediatrix-Obstetrix Center for Research and Education, Sunrise, FL, USA.

Abstract

OBJECTIVE:

To characterize in-hospital outcomes of premature infants diagnosed with severe bronchopulmonary dysplasia (BPD).

STUDY DESIGN:

Retrospective cohort study including premature infants with severe BPD discharged from 348 Pediatrix Medical Group neonatal intensive care units from 1997 to 2015.

RESULTS:

There were 10 752 infants with severe BPD, and 549/10 752 (5%) died before discharge. Infants who died were more likely to be male, small for gestational age, have received more medical interventions and more frequently diagnosed with surgical necrotizing enterocolitis, culture-proven sepsis and pulmonary hypertension following 36 weeks of postmenstrual age compared with survivors. Approximately 70% of infants with severe BPD were discharged by 44 weeks of postmenstrual age, and 86% were discharged by 48 weeks of postmenstrual age.

CONCLUSIONS:

A majority of infants diagnosed with severe BPD were discharged home by 44 weeks of postmenstrual age. These results may inform discussions with families regarding the expected hospital course of infants diagnosed with severe BPD.

PMID:
28383537
PMCID:
PMC5562519
DOI:
10.1038/jp.2017.49
[Indexed for MEDLINE]
Free PMC Article

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