[Early prediction of risk of bronchopulmonary dysplasia].
Bronchopulmonary dysplasia (BPD) has become a frequent and worrying issue in neonatal intensive care units (NICU). The aim of this retrospective study was to define more precisely the incidence of BPD within a population of 2,216 newborns admitted at less than 24 hrs of life. 138 cases of BPD were diagnosed. The BPD rates decrease exponentially with regard to gestational ages (GA) [67% at less than 28 weeks (w), 37% at 28-29 w, 22% at 30 w, 9% at 31-32 w, 3% at 33-34 w and 0.4% at greater than or equal to 35 w]. The presence of hyaline membrane disease (HMD) increases the GA related risks by 1.5, 2, 3, 10, 20 and 40 times at less than 28 w, 28-29 w, 30 w, 31-32 w, 33-34 w and greater than or equal to 35 w, respectively. Other factors such as interstitial emphysema, refractory hypoxemia and hypotrophy associated with HMD, have been found associated with increased risks. A chart taking into account all these parameters has been constructed allowing the determination of individual risks of developing BPD during the first days of life.
Zupan
V
V
Service de Pédiatrie et Réanimation Néonatales, Hôpital Antoine-Béclère, Clamart.
Dehan
M
M
Rougeot
C
C
Dworzak
P
P
Magny
J F
JF
Quentin
P
P
D001997:Bronchopulmonary Dysplasia / Q000453:epidemiology* / Q000209:etiology; D005602:France / Q000453:epidemiology; D005865:Gestational Age; D006801:Humans; D006819:Hyaline Membrane Disease / Q000150:complications / Q000453:epidemiology; D000860:Hypoxia / Q000150:complications / Q000453:epidemiology; D015994:Incidence; D007231:Infant, Newborn; D007363:Intensive Care Units, Neonatal; D011237:Predictive Value of Tests; D011656:Pulmonary Emphysema / Q000150:complications / Q000453:epidemiology; D012189:Retrospective Studies; D012307:Risk Factors
Evaluation précoce du risque de dysplasie bronchopulmonaire.