The Comparison of Severity according to Preceding Causes of Bronchopulmonary Dysplasia in Very Low Birth Weight Infants.

Kim,  Sung Hye; Lee,  Kye Hyang; Lee,  Soo Hyun; You,  Dong Kil; Choi,  Suk Joo; Hwang,  Jong Hee; Choi,  Chang Won; Shim,  Jae Won; Yoon,  Hye Kyung; Yang,  Soon Ha; Chang,  Yun Shil; Park,  Won Soon

Original Article

Journal of the Korean Society of Neonatology 2003;10(1):47-54.
Published online May 1, 2003.

The Comparison of Severity according to Preceding Causes of Bronchopulmonary Dysplasia in Very Low Birth Weight Infants.

Sung Hye Kim, Kye Hyang Lee, Soo Hyun Lee, Dong Kil You, Suk Joo Choi, Jong Hee Hwang, Chang Won Choi, Jae Won Shim, Hye Kyung Yoon, Soon Ha Yang, Yun Shil Chang, Won Soon Park

¹Department of Pediatrics, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea. wspark@smc.samsung.co.kr
²Department of Obstetrics and Gynecology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
³Department of Radiology, Sungkyunkwan University School of Medicine, Samsung Medical Center, Seoul, Korea.
⁴Department of Pediatrics, Sungkyunkwan University School of Medicine, KangBuk Samsung Hospital, Seoul, Korea.

극소 저출생 체중아의 기관지 폐이형성증(BPD)에서 선행 원인별 분류에 따른 중증도 비교

^, ^, ^, ^, ^, ^, ^, ^, ^, ^, ^,

^¹
^²
^³
^⁴

Abstract

PURPOSE
This report attempts to reveal the incidence and prevalence of bronchopulmonary dysplasia (BPD) and compare the severity according to preceding causes of BPD in very low birth weight (VLBW) infants. METHOD: Retrospective study was done on 293 VLBW infants who were born and admitted to neonatal intensive care unit in Samsung medical center between October, 1995 and December, 2001. Classical BPD was defined as oxygen dependency at 36 week's postmenstrual age (PMA). Ogawa BPD was defined as oxygen dependency at 28 days after birth, with respiratory distress symptoms and the change on chest X-ray finding. This classification further classified as BPD into 5 subtypes by the presence of respiratory distress syndrome (RDS), pathologic chorioamnionitis and the type of chest X-ray finding. BPD by Jobe and Bancalari was defined as oxygen dependency at 28 days after birth and classified as 3 subtypes (severe, moderate, mild) by the severity of oxygen dependency. Comparisons were made among classifications. RESULTS: Classical BPD infants were 56 (19.1%), Ogawa BPD infants were 76 (25.9 %), BPD by Jobe and Bancalari infants were 124 (42.3%). In Ogawa classification, Infants with RDS and the change on chest X-ray were 58 infants (76.4%). There was no statistical difference of mortality between each type of Ogawa BPD. In classification by Jobe and Bancalari, 35 infants (28.2%) belonged to severe BPD and 75 infants (60.5%) belonged to mild BPD. The mortality was highest in severe BPD infants but there was no statistical difference after correction by birth weight. There was no statistical correlation between Ogawa classification and classification by Jobe and Bancalari. CONCLUSION: There was no statistical difference in mortality or severity between each subtype of classifications according to the severity or preceding cause of BPD in very low birth weight infants.

Key Words: Bronchopulmonary dysplasia (BPD); Ogawa; Jobe and Bancalari; Classification