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Am J Perinatol 2015; 32(07): 659-666
DOI: 10.1055/s-0034-1393935
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

A Clinical Scoring System to Predict the Development of Bronchopulmonary Dysplasia

Tugba Gursoy
1   Department of Neonatology, School of Medicine, KOC University, Istanbul, Turkey
,
Mutlu Hayran
2   Department of Preventive Oncology, Faculty of Medicine, Hacettepe University, Ankara, Turkey
,
Hatice Derin
3   Department of Pediatrics, Zeynep Kamil Maternity and Children's Research and Training Hospital, Istanbul, Turkey
,
Fahri Ovali
3   Department of Pediatrics, Zeynep Kamil Maternity and Children's Research and Training Hospital, Istanbul, Turkey
› Author Affiliations
Further Information

Publication History

17 June 2014

12 August 2014

Publication Date:
06 October 2014 (online)

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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.

Keywords

bronchopulmonary dysplasia - prediction - risk factors - prematurity
 

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