The changing pattern of chronic lung disease of prematurity.

Hyde, I.; English, Robin; Williams, James

doi:10.1136/adc.64.4_spec_no.448

Cited by 61 publications

(35 citation statements)

References 11 publications

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“…Infants reaching these stages have chest X-rays showing hyperinflated lung fields with a coarse reticulation character ized by streaky densities interspersed with smaller or large cystic translucencies [1][2][3], However, not all infants who suffer from BPD have these typical radiological features. Many infants have very little pulmonary hy perinflation and bilateral, ill-defined opaci ties, suggesting milder disease [3][4][5]. It is therefore acceptable that the lung histology of these infants differs from the originally described pattern.…”

Section: Introductionmentioning

confidence: 90%

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Different Patterns of Pulmonary Sequelae after Hyaline Membrane Disease: Heterogeneity of Bronchopulmonary Dysplasia?

Lierde

Cornelis²,

Devlieger³

et al. 1991

Neonatology

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In an autopsy study of 37 infants who suffered from hyaline membrane disease (HMD), two distinct patterns of pulmonary lesions could be defined. One pattern, characterized by marked interstitial fibrosis in the absence of airway abnormalities, was labelled Ê»interstitial-type’ histology. A second type, labelled Ê»bronchiolar-type’ histology, showed marked airway lesions and alveolar emphysema. Nine patients of each type were analysed. Nineteen other patients had a Ê»mixed-type’ histology and were not further studied. Retrospectively, the clinical and radiological characteristics of both series were analysed. No differences in birth weight, gestational age and initial radiological HMD grade could be demonstrated. The pulmonary function of the bronchiolar-type patients however was significantly worse at the onset, and these infants needed more oxygen and ventilatory support during the first 10 days of life. They all died from respiratory failure whereas 4 patients from the interstitial group had non-pulmonary fatalities. In the bronchiolar group chest X-rays showed atelectasis and pulmonary interstitial emphysema in the early stages, and hyperinflation with bullae and irregular streaky densities in the later. Patients in the interstitial group had no or minor emphysema with more homogeneously spread densities over both lungs. We conclude that both types of evolution represent two extremes of the bronchopulmonary dysplasia spectrum.

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Section: Introductionmentioning

confidence: 90%

“…The median age at death was 23 (range 15-52) days in the interstitial and 11 (4)(5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21) days in the bronchiolar group. The differ ence between both groups was not signifi cant.…”

Section: Duration O F Survival and Causes O F Deathmentioning

confidence: 99%

Different Patterns of Pulmonary Sequelae after Hyaline Membrane Disease: Heterogeneity of Bronchopulmonary Dysplasia?

Lierde

Cornelis²,

Devlieger³

et al. 1991

Neonatology

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“…To date, little research has evaluated the relationship between BW and COPD. Inter alia, Hyde et al [8] showed that in a group of preterm born children who had a LBW and BD, a higher prevalence of COPD was observed. Other studies displayed the frequent coexistence of emphysema with LBW [9,10].…”

Section: Discussionmentioning

confidence: 99%

Impact of Birth Weight and Smoking on Lung Function in Patients with Asthma, COPD, and Healthy Volunteers

et al. 2016

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Section: Pbps Supported By Level 3 Evidencementioning

confidence: 99%

“…Past neonatal studies and a recent study on adults suggested that reducing sentinel events can reduce complications of mechanical ventilation. [25][26][27][28] In addition to published evidence, reducing sentinel events was strongly advocated by expert opinion from the Breathsavers Group.Recent studies have emphasized the potential toxicity of supplemental oxygen. 29,30 Animal studies, Resuscitation of Asphyxiated Newborn Infants With Room Air or Oxygen (the Second Multicenter Study) (Resair 2), and the Supplemental Therapeutic Oxygen for Prethreshold Retinopathy of Prematurity (STOP-ROP) studies all suggest that minimizing exposure to high concentrations of oxygen benefits neonates.…”

mentioning

confidence: 99%

Evaluation and Development of Potentially Better Practices to Reduce Bronchopulmonary Dysplasia in Very Low Birth Weight Infants

Payne¹,

LaCorte

Sun

et al. 2006

Pediatrics

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OBJECTIVE. The objective of this study was to describe development and implementation of potentially better practices to reduce bronchopulmonary dysplasia in very low birth weight infants (birth weight: 501-1500 g). METHODS.Results of Breathsavers Group meetings, conference calls and critically appraised topic summaries were used to construct potentially better practices. Implementation plans and experiences were reported by participants and collated.RESULTS. The Breathsavers Group developed 13 potentially better practices, based on published evidence and expert opinion. Participants determined which potentially better practices to implement and implementation methods. Participating NICUs implemented an average of 5 potentially better practices (range: 3-9). The Breathsavers Group also developed a resource kit, identified common obstacles to implementation, and initiated research to define bronchopulmonary dysplasia better.CONCLUSIONS. Multiinstitutional collaboration facilitated development and implementation of potentially better practices to reduce bronchopulmonary dysplasia. (NIC/Q 2002) to help participating NICUs make measurable improvements in care for very low birth weight (VLBW) infants. This collaborative was patterned after 2 previous collaboratives (NIC/Q and NIC/Q 2000). [1][2][3] The essential components of NIC/Q 2002 were (1) evidence-based potentially better practices (PBPs), (2) current methods of quality improvement and adult education, (3) multicenter collaboration, and (4) outcomes measurement. Central to the collaborative were 4 key habits: change, evidence-based practice, systems thinking, and collaborative learning. 3 Of centers that initially participated in NIC/Q 2002, 17 chose reducing bronchopulmonary dysplasia (BPD) as a primary objective and joined the Breathsavers Group. One institution dropped out of the collaborative, leaving 16 centers (19 hospitals) that completed the project. One center consisted of 4 separate hospitals that collaborated as a single center. Rates of BPD vary widely among centers, even after adjustment for differences in patient populations. 4,5 A previous report from the original NIC/Q collaborative showed a significant decrease in BPD among participants who focused on reducing BPD rates. 2 The Breathsavers Group believed that they could lower BPD rates by implementing PBPs. The goal was to reduce BPD by 10% in 2003 compared with the baseline year, 2001. METHODSThe Breathsavers Group consisted of 16 centers (19 hospitals) with Jay P. Goldsmith, MD, Medical Expert; Meena LaCorte, MD, Group Leader; and Debra Miller and Diane Miller, Facilitators. Participating hospitals are listed in the Acknowledgments. One center, Columbus Children's Hospital (Columbus, OH), was closely associated with 3 referral hospitals (Doctor's Hospital West, Riverside Methodist Hospital, and Grant Medical Center). These 4 hospitals worked very closely with each other and participated in the NIC/Q 2002 collaborative as a single center. For the purposes of this report, these 4 hos...

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The changing pattern of chronic lung disease of prematurity.

Cited by 61 publications

References 11 publications

Different Patterns of Pulmonary Sequelae after Hyaline Membrane Disease: Heterogeneity of Bronchopulmonary Dysplasia?

Different Patterns of Pulmonary Sequelae after Hyaline Membrane Disease: Heterogeneity of Bronchopulmonary Dysplasia?

Impact of Birth Weight and Smoking on Lung Function in Patients with Asthma, COPD, and Healthy Volunteers

Evaluation and Development of Potentially Better Practices to Reduce Bronchopulmonary Dysplasia in Very Low Birth Weight Infants

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