Interstitial pneumonia pattern on day 7 chest radiograph predicts bronchopulmonary dysplasia in preterm infants

BMC Pediatrics
Hye-Rim KimBeyong Il Kim

Abstract

Early identification of infants at higher risk of developing bronchopulmonary dysplasia (BPD) may enable a targeted approach to reduce BPD. We aimed to evaluate the hypothesis that the interstitial pneumonia pattern on the day 7 chest radiograph predicts BPD or death before 36 weeks postmenstrual age (PMA). A retrospective cohort study was performed on 336 preterm infants (birth weight < 1500 g and gestational age < 32 postmenstrual weeks) who were admitted to a single tertiary academic center between January 2008 and December 2014. Day 7 chest radiographs were independently reviewed by two pediatric radiologists who were unaware of the clinical information regarding each individual infant. Data from 304 infants who survived more than 7 days after birth were collected. The interstitial pneumonia pattern on the day 7 chest radiograph was independently associated with BPD or death before 36 weeks PMA (odds ratio [OR] 4.0, 95% confidence interval [CI] 1.1-14.4). The interstitial pneumonia pattern on the day 7 chest radiograph predicted BPD or death with a specificity of 98%. Histologic chorioamnionitis was a preceding factor that was independently associated with the interstitial pneumonia pattern on the day 7 chest radiograph (OR...Continue Reading

Associated Clinical Trials

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Citations

Jan 14, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Hirokazu AraiUNKNOWN Neonatal Research Network of Japan
Jun 7, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Machiko MoritaFumihiko Namba
Jun 20, 2019·Pediatric Pulmonology·Almudena Alonso-Ojembarrena, Simón Pedro Lubián-López
Mar 18, 2021·Pediatric Pulmonology·Laura MoschinoEugenio Baraldi
Oct 22, 2021·BMJ : British Medical Journal·Margaret GilfillanVineet Bhandari

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Methods Mentioned

BETA
PMA

Software Mentioned

SPSS

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