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Improved survival but more severe BPD in very preterm infants <32 weeks. What to do?!


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This paper came on my radar, UK data on 83.000 very preterm infants born 2010 to 2020, and their mortality and respiratory outcomes.

The short version is that mortality decreased from 10.1% to 8.5%  while severe BPD increased from 12% to 17%. The composite of death/severe BPD changed from 21% to 24%. Also postdischarge respiratory support increased between 2010 and 2020, from 13% to 17%.

The authors write in their conclusion that "these survivors will develop chronic respiratory diseases requiring greater healthcare resources."

What's your thoughts in this paper? What shall we do?!

Find the full-text paper here: https://thorax.bmj.com/content/early/2023/08/28/thorax-2023-220174

 

thorax-2023-220174-F3.large.jpg

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12 hours ago, Stefan Johansson said:

This paper came on my radar, UK data on 83.000 very preterm infants born 2010 to 2020, and their mortality and respiratory outcomes.

The short version is that mortality decreased from 10.1% to 8.5%  while severe BPD increased from 12% to 17%. The composite of death/severe BPD changed from 21% to 24%. Also postdischarge respiratory support increased between 2010 and 2020, from 13% to 17%.

The authors write in their conclusion that "these survivors will develop chronic respiratory diseases requiring greater healthcare resources."

What's your thoughts in this paper? What shall we do?!

Find the full-text paper here: https://thorax.bmj.com/content/early/2023/08/28/thorax-2023-220174

 

thorax-2023-220174-F3.large.jpg

Until the role of manual device rescue ventilation in the development of BPD is quantified and qualified, progress in treatment will continue to be elusive 

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