Displasia broncopulmonar: definiciones y clasificación

Luna, Manuel Sánchez; Hernando, J. Moreno; Botet, Francesc; Fernández-Lorenzo, José Ramón; Carrillo, G. Herranz; Gracia, Segundo Rite; García, Enrique Salguero; Urcelay, I. Echániz

doi:10.1016/j.anpedi.2013.02.003

Cited by 23 publications

(8 citation statements)

References 40 publications

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“…A diagnosis of Patent Ductus Arteriosus (PDA) was assigned in the presence of a compatible heart murmur or clinical signs (hyperdynamic precordial impulse, full pulses, widened pulse pressure, and/or worsening of the respiratory status) with a ductal right-to-left shunt in the echocardiography. Babies needing oxygen for more than 28 days were categorized as having bronchopulmonary displasia (BPD) [40]. Necrotizing enterocolitis was defined using Bell’s classification and diagnosed if a stage 2 or more was present [41].…”

Section: Methodsmentioning

confidence: 99%

Applying Methods for Postnatal Growth Assessment in the Clinical Setting: Evaluation in a Longitudinal Cohort of Very Preterm Infants

et al. 2019

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Aim: To analyze different methods to assess postnatal growth in a cohort of very premature infants (VPI) in a clinical setting and identify potential early markers of growth failure. Methods: Study of growth determinants in VPI (≤32 weeks) during hospital stay. Nutritional intakes and clinical evolution were recorded. Growth velocity (GV: g/kg/day), extrauterine growth restriction (%) (EUGR: weight < 10th centile, z-score < −1.28) and postnatal growth failure (PGF: fall in z-score > 1.34) at 36 weeks postmenstrual age (PMA) were calculated. Associations between growth and clinical or nutritional variables were explored (linear and logistic regression). Results: Sample: 197 VPI. GV in IUGR patients was higher than in non-IUGRs (28 days of life and discharge). At 36 weeks PMA 66.0% of VPIs, including all but one of the IUGR patients, were EUGR. Prevalence of PGF at the same time was 67.4% (IUGR patients: 48.1%; non-IUGRs: 70.5% (p = 0.022)). Variables related to PGF at 36 weeks PMA were initial weight loss (%), need for oxygen and lower parenteral lipids in the first week. Conclusions: The analysis of z-scores was better suited to identify postnatal growth faltering. PGF could be reduced by minimising initial weight loss and assuring adequate nutrition in patients at risk.

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Section: Methodsmentioning

confidence: 99%

Applying Methods for Postnatal Growth Assessment in the Clinical Setting: Evaluation in a Longitudinal Cohort of Very Preterm Infants

et al. 2019

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“…9. Severidad de displasia broncopulmonar: definida como leve, si el paciente no requiere oxígeno suplementario a las 36 semanas; moderada, si se requiere oxígeno suplementario < 30% a las 36 semanas; y severa, si el paciente requiere oxígeno suplementario pasadas las 36 semanas de edad o se encuentra en presión positiva continua en la vía aérea (Continuous Positive Airway Pressure, CPAP) o ventilación mecánica a las 36 semanas de edad gestacional corregida 30 . 10.…”

Section: Notasunclassified

Severe sepsis and retinopathy of prematurity in very low birth weight preterm newborns in a third-level healthcare center in Lima, Peru between 2008 and 2018: A case-control study

Valdivia¹,

Elias²,

Herbozo³

et al. 2021

Medwave

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Background Retinopathy of prematurity is the leading worldwide cause of visual impairment. There is little available data on its epidemiology and related factors and consequences in developing countries such as Peru. Due to this lack of information, we decided to do this study. Objectives To evaluate factors related to the development of retinopathy of prematurity in very low birth weight newborn patients. Methods We did a case-control (paired 1:1) study of patients admitted to the Neonatal Intensive Care Unit of the Hospital Cayetano Heredia between 2008 and 2018 who had a complete record in the Neocosur network database (N = 293). The case was defined as a preterm newborn patient with a birth weight lower than 1500 grams who developed any type or stage of retinopathy of prematurity; control was defined as a patient with similar characteristics without retinopathy. Univariate and bivariate analysis (using logistic regression model) was performed to obtain the odds ratio with a 95% confidence interval. Results Data were obtained from 57 cases and 57 controls admitted to the Neonatal Intensive Care Unit at Hospital Cayetano Heredia. Late-onset sepsis was the main factor associated with retinopathy of prematurity (odds ratio 4.39; 95% confidence interval 1.23 to 15.76, p = 0.02). Additionally, we performed a bivariate and multivariate analysis that showed that exposure to supplementary oxygen at 36 weeks of postmenstrual age and retinopathy of prematurity were not significantly associated (8.47; 0.51 to 141.17, p = 0.14). Conclusions Patients with late-onset sepsis have a 4.39 times higher odds of developing retinopathy of prematurity. Prospective studies are needed with larger sample sizes.

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“…La displasia broncopulmonar (DBP) es la secuela más frecuente y una de las más importantes en pacientes prematuros, ocurre como resultado de un proceso complejo de origen multifactorial que interfiere con el desarrollo del árbol respiratorio inferior, generando una limitación en la función respiratoria 1,2 . Para el año 2017 la incidencia reportada de DBP en Latinoamérica fue de 28,5% (44% en pretérminos entre 24 y 28 semanas y 15% entre 28 a 32 semanas) 1 .…”

Section: Introductionunclassified

Bronchopulmonary dysplasia in patients of a kangaroo mother program in Popayán-Colombia. Retrospective cohort study

Pantoja-Gómez

Diaz-Castro²,

Caicedo-Rodríguez³

et al. 2022

Duazary

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El Programa Madre Canguro (PMC) permite un seguimiento a prematuros con comorbilidades como displasia broncopulmonar (DBP). El objetivo fue caracterizar los pacientes con DBP, describir su compromiso nutricional, neurológico, respiratorio en un PMC. Se realizó un estudio de cohorte retrospectivo en el PMC de un Hospital Universitario con aprobación del comité de ética. Incluyó pacientes con DBP entre 2015-2018, sin malformaciones mayores. Evaluamos el estado nutricional, neurológico y respiratorio a las 40 semanas, 6 y 12 meses de edad corregida mediante escalas recomendadas en Colombia. Realizamos análisis descriptivo y comparación según severidad de la DBP. Describimos la evolución en pacientes con seguimiento completo. Ingresaron 490 pacientes en cuatro años, 50 con DBP (10,2%); 58% con DBP-moderada, ninguno con DBP-severa. 96% de estrato socioeconómico bajo, 46% <29 semanas de edad gestacional y el 90% sometidos a ventilación mecánica. Encontramos compromiso del promedio de Talla/Edad a 6 y 12 meses. Prueba Amiel Tisson anormal en 98%. Cerca del 75% presentaron síntomas respiratorios entre 6 y 12 meses y 33% tuvo al menos un reingreso hospitalario. Los pacientes con DBP del PMC tienen compromiso en la Talla/Edad, neurodesarrollo y alteraciones respiratorias al completar el seguimiento.

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Displasia broncopulmonar: definiciones y clasificación

Cited by 23 publications

References 40 publications

Applying Methods for Postnatal Growth Assessment in the Clinical Setting: Evaluation in a Longitudinal Cohort of Very Preterm Infants

Applying Methods for Postnatal Growth Assessment in the Clinical Setting: Evaluation in a Longitudinal Cohort of Very Preterm Infants

Severe sepsis and retinopathy of prematurity in very low birth weight preterm newborns in a third-level healthcare center in Lima, Peru between 2008 and 2018: A case-control study

Bronchopulmonary dysplasia in patients of a kangaroo mother program in Popayán-Colombia. Retrospective cohort study

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