Abstract (EN):
Bronchopulmonary dysplasia (BPD) has become by far the greatest contributor to morbidity in Newborn Intensive Care Units (NICU). The aim of this study was to evaluate morbidity and mortality due to BDP in our NICU. Between January 1992 and July 1995, we consecutively studied 20 patients (17 males and 3 females, with gestational age range of 25 to 32 weeks, x = 29, and a birth weight range of 600 to 1800 grams, x = 1200, with BDP according to Bancalari and Shennon criteria. Severe BPD was defined by oxygen dependence at 4th month of life. All patients were ventilated (conventional ventilation) immediately after birth due to respiratory distress syndrome (RDS) and received exogenous surfactant in the first twelve hours of life. Severe BDP was seen in two (10%) infants. Ten (50%) infants had intraventricular hemorrhage. 8 (40%) a patent ductus arteriosus, 10 (50%) a gastroesophageal reflux and 6 (30%) were under 10th centrale. Wheezing was present in 8 (40%) infants and rehospitalization during first year of life was necessary in 8 (40%). Mortality was 5% (one infant died with septicemia). We concluded that, in our NICU, BDP is yet a major problem concerning morbidity in spite of advances in treatment of neonatal RDS. © 1997 Wiley-Liss, Inc.
Language:
English
Type (Professor's evaluation):
Scientific