Tugba Gursoy1, Mutlu Hayran2, Hatice Derin3, Fahri Ovali3. 1. Department of Neonatology, School of Medicine, KOC University, Istanbul, Turkey. 2. Department of Preventive Oncology, Faculty of Medicine, Hacettepe University, Ankara, Turkey. 3. Department of Pediatrics, Zeynep Kamil Maternity and Children's Research and Training Hospital, Istanbul, Turkey.
Abstract
OBJECTIVE: This study aims to develop a scoring system for the prediction of bronchopulmonary dysplasia (BPD). METHODS: Medical records of 652 infants whose gestational age and birth weight were below 32 weeks and 1,500 g, respectively, and who survived beyond 28th postnatal day were reviewed retrospectively. Logistic regression methods were used to determine the clinical and demographic risk factors within the first 72 hours of life associated with BPD, as well as the weights of these factors on developing BPD. Predictive accuracy of the scoring system was tested prospectively at the same unit. RESULTS: Birth weight, gestational age, gender, presence of respiratory distress syndrome, patent ductus arteriosus, intraventricular hemorrhage, hypotension were the most important risk factors for BPD. Therefore, a scoring system (BPD-TM score) ranging from 0 to 13 and grouped in four tiers (0-3: low, 4-6: low intermediate, 7-9: high intermediate, and 10-13: high risk) was developed based on these factors. Below the score of 4, 4.1% of infants (18/436), above the score of 9, 100% (29/29) of the infants developed BPD. The score was validated successfully in 172 infants. CONCLUSION: With this easy to use scoring system, one can predict the neonate at risk for BPD at 72 hours of life and direct preventive measures toward these infants. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
OBJECTIVE: This study aims to develop a scoring system for the prediction of bronchopulmonary dysplasia (BPD). METHODS: Medical records of 652 infants whose gestational age and birth weight were below 32 weeks and 1,500 g, respectively, and who survived beyond 28th postnatal day were reviewed retrospectively. Logistic regression methods were used to determine the clinical and demographic risk factors within the first 72 hours of life associated with BPD, as well as the weights of these factors on developing BPD. Predictive accuracy of the scoring system was tested prospectively at the same unit. RESULTS: Birth weight, gestational age, gender, presence of respiratory distress syndrome, patent ductus arteriosus, intraventricular hemorrhage, hypotension were the most important risk factors for BPD. Therefore, a scoring system (BPD-TM score) ranging from 0 to 13 and grouped in four tiers (0-3: low, 4-6: low intermediate, 7-9: high intermediate, and 10-13: high risk) was developed based on these factors. Below the score of 4, 4.1% of infants (18/436), above the score of 9, 100% (29/29) of the infants developed BPD. The score was validated successfully in 172 infants. CONCLUSION: With this easy to use scoring system, one can predict the neonate at risk for BPD at 72 hours of life and direct preventive measures toward these infants. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
Authors: Maria Alvarez-Fuente; Laura Moreno; Paloma Lopez-Ortego; Luis Arruza; Alejandro Avila-Alvarez; Marta Muro; Enrique Gutierrez; Carlos Zozaya; Gema Sanchez-Helguera; Dolores Elorza; Andrea Martinez-Ramas; Gema Villar; Carlos Labrandero; Lucia Martinez; Teresa Casado; Irene Cuadrado; Maria Jesus Del Cerro Journal: PLoS One Date: 2019-03-06 Impact factor: 3.240