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Du Z, Kong X, Ren Y, Feng Z, Huang J, Chen J, Wang R. Relevance of clinical features in the prognosis of bronchopulmonary dysplasia in premature infants. Exp Ther Med 2017; 14:3433-3440. [PMID: 29042930 PMCID: PMC5639336 DOI: 10.3892/etm.2017.4985] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/19/2016] [Accepted: 04/07/2017] [Indexed: 11/22/2022] Open
Abstract
The aim of this study is to determine the accuracy rate of bronchopulmonary dysplasia (BPD) diagnosis and risk factors of short-term poor prognosis for premature infants. This study analyzed the clinical data of 81 premature infants (<32 weeks gestational age) with BPD, who were on oxygen therapy >28 days, and survived >36 weeks (corrected age). Outcome measures included treatments, conditions on the 28th day after birth, oxygen therapy conditions at the 36th week, occurrence of any serious complications during hospital stay. The major risk factors affecting prognosis were ventilation duration, duration of oxygen therapy, application of steroids, hypothyroidism and severity of BPD (all P<0.05). Interventions for complications (n=53) resulted in ceased inhalation of oxygen in 12 infants, improvement of symptoms in 26 infants, and were ineffective in 15 infants. BPD prognosis can be improved by shortening the duration of invasive ventilation and correcting thyroid function.
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Affiliation(s)
- Zhifang Du
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China.,Department of Pediatrics, PLA Bethune International Peace Hospital, Shijiazhuang, Hebei 050082, P.R. China
| | - Xiangyong Kong
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China
| | - Yanli Ren
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China.,Department of Neonatology, Teaching Hospital of Fujian Medical University, Fujian Maternity and Children Health Hospital, Fuzhou, Fujian 350001, P.R. China
| | - Zhichun Feng
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China
| | - Junjin Huang
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China
| | - Jia Chen
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China
| | - Ruijuan Wang
- Newborn Care Center, Affiliated Bayi Children's Hospital, Clinical Medical College in PLA-Army General Hospital, Southern Medical University, Beijing 100007, P.R. China.,Beijing Key Laboratory of Pediatric Organ Failure, Beijing 100007, P.R. China
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