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Comparison of New Bronchopulmonary Dysplasia Definitions on Long-Term Outcomes in Preterm Infants
To compare the discriminative performances of the 2018 National Institutes of Health (NIH) and the 2019 Jensen definitions of bronchopulmonary dysplasia (BPD) with the 2001 NIH definition on adverse neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age. In this single-cent...
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| Published in: | The Journal of pediatrics 2023-02, Vol.253, p.86-93.e4 |
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| Main Authors: | , , , , , , , , , , , , , , |
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| container_end_page | 93.e4 |
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| container_title | The Journal of pediatrics |
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| creator | Katz, Trixie A. van Kaam, Anton H. Schuit, Ewoud Mugie, Suzanne M. Aarnoudse-Moens, Cornelieke S.H. Weber, Elske H. de Groof, Femke van Laerhoven, Henriette Counsilman, Clare E. van der Schoor, Sophie R.D. Rijpert, Maarten Schiering, Irene A. Wilms, Janneke Leemhuis, Aleid G. Onland, Wes |
| description | To compare the discriminative performances of the 2018 National Institutes of Health (NIH) and the 2019 Jensen definitions of bronchopulmonary dysplasia (BPD) with the 2001 NIH definition on adverse neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age.
In this single-center retrospective cohort study, outcomes of infants born at |
| doi_str_mv | 10.1016/j.jpeds.2022.09.022 |
| format | article |
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In this single-center retrospective cohort study, outcomes of infants born at <30 weeks of gestational age were collected. The 3 definitions of BPD were compared by adding the different definitions to the National Institute of Child Health and Human Development's outcome prediction model for neurodevelopmental impairment (NDI) or death. Discriminative performance was compared for both outcomes at 2 years and 5 years corrected age by calculating the areas under the receiver operating characteristic curve and z-statistics.
The presence of BPD and its severity were determined in 584 infants. There were considerable shifts in BPD grading among the different definitions. At both time points, all BPD definition models had comparable discriminating power for NDI and respiratory morbidity, with one exception. Compared with the 2001 NIH definition, the 2018 NIH definition had less predictive power for the neurologic outcome at 2 years corrected age.
Our comparison of the 3 BPD definitions shows similar discriminative performance on long term neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/j.jpeds.2022.09.022</identifier><identifier>PMID: 36150504</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bronchopulmonary Dysplasia - diagnosis ; Child ; Gestational Age ; Humans ; Infant ; Infant, Newborn ; Infant, Premature ; Prognosis ; Retrospective Studies</subject><ispartof>The Journal of pediatrics, 2023-02, Vol.253, p.86-93.e4</ispartof><rights>2022 Elsevier Inc.</rights><rights>Copyright © 2022 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c359t-ddad25856a94c1dc7a4775dc6ad36bbb2ec7a85898b284a5b5e8da08a6f04c523</citedby><cites>FETCH-LOGICAL-c359t-ddad25856a94c1dc7a4775dc6ad36bbb2ec7a85898b284a5b5e8da08a6f04c523</cites><orcidid>0000-0002-9623-0606</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36150504$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Katz, Trixie A.</creatorcontrib><creatorcontrib>van Kaam, Anton H.</creatorcontrib><creatorcontrib>Schuit, Ewoud</creatorcontrib><creatorcontrib>Mugie, Suzanne M.</creatorcontrib><creatorcontrib>Aarnoudse-Moens, Cornelieke S.H.</creatorcontrib><creatorcontrib>Weber, Elske H.</creatorcontrib><creatorcontrib>de Groof, Femke</creatorcontrib><creatorcontrib>van Laerhoven, Henriette</creatorcontrib><creatorcontrib>Counsilman, Clare E.</creatorcontrib><creatorcontrib>van der Schoor, Sophie R.D.</creatorcontrib><creatorcontrib>Rijpert, Maarten</creatorcontrib><creatorcontrib>Schiering, Irene A.</creatorcontrib><creatorcontrib>Wilms, Janneke</creatorcontrib><creatorcontrib>Leemhuis, Aleid G.</creatorcontrib><creatorcontrib>Onland, Wes</creatorcontrib><title>Comparison of New Bronchopulmonary Dysplasia Definitions on Long-Term Outcomes in Preterm Infants</title><title>The Journal of pediatrics</title><addtitle>J Pediatr</addtitle><description>To compare the discriminative performances of the 2018 National Institutes of Health (NIH) and the 2019 Jensen definitions of bronchopulmonary dysplasia (BPD) with the 2001 NIH definition on adverse neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age.
In this single-center retrospective cohort study, outcomes of infants born at <30 weeks of gestational age were collected. The 3 definitions of BPD were compared by adding the different definitions to the National Institute of Child Health and Human Development's outcome prediction model for neurodevelopmental impairment (NDI) or death. Discriminative performance was compared for both outcomes at 2 years and 5 years corrected age by calculating the areas under the receiver operating characteristic curve and z-statistics.
The presence of BPD and its severity were determined in 584 infants. There were considerable shifts in BPD grading among the different definitions. At both time points, all BPD definition models had comparable discriminating power for NDI and respiratory morbidity, with one exception. Compared with the 2001 NIH definition, the 2018 NIH definition had less predictive power for the neurologic outcome at 2 years corrected age.
Our comparison of the 3 BPD definitions shows similar discriminative performance on long term neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age.</description><subject>Bronchopulmonary Dysplasia - diagnosis</subject><subject>Child</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Prognosis</subject><subject>Retrospective Studies</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNp9kEtP3DAUha2qqAzQX1Cp8rKbhJuHnXjRRTtTHtIIWNC15dg34FFip3ZCxb_H06EsWR3p6Jx7dD9CvhSQF1Dw812-m9DEvISyzEHkST6QVQGiyXhbVR_JCpKVVXXDj8lJjDsAEDXAJ3Jc8YIBg3pF1NqPkwo2ekd9T2_wL_0ZvNOPflqG0TsVnunmOU6DilbRDfbW2dl6F2kqbL17yO4xjPR2mbUfMVLr6F3Aee9du165OZ6Ro14NET-_6in5ffHrfn2VbW8vr9c_tpmumJgzY5QpWcu4ErUujG5U3TTMaK5MxbuuKzFZLWtF25VtrVjHsDUKWsV7qDUrq1Py7XB3Cv7PgnGWo40ah0E59EuUZVM0XCQCIkWrQ1QHH2PAXk7BjulVWYDcs5U7-Y-t3LOVIGSS1Pr6OrB0I5q3zn-YKfD9EMD05pPFIKO26DQaG1DP0nj77sAL0nyNIA</recordid><startdate>202302</startdate><enddate>202302</enddate><creator>Katz, Trixie A.</creator><creator>van Kaam, Anton H.</creator><creator>Schuit, Ewoud</creator><creator>Mugie, Suzanne M.</creator><creator>Aarnoudse-Moens, Cornelieke S.H.</creator><creator>Weber, Elske H.</creator><creator>de Groof, Femke</creator><creator>van Laerhoven, Henriette</creator><creator>Counsilman, Clare E.</creator><creator>van der Schoor, Sophie R.D.</creator><creator>Rijpert, Maarten</creator><creator>Schiering, Irene A.</creator><creator>Wilms, Janneke</creator><creator>Leemhuis, Aleid G.</creator><creator>Onland, Wes</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9623-0606</orcidid></search><sort><creationdate>202302</creationdate><title>Comparison of New Bronchopulmonary Dysplasia Definitions on Long-Term Outcomes in Preterm Infants</title><author>Katz, Trixie A. ; van Kaam, Anton H. ; Schuit, Ewoud ; Mugie, Suzanne M. ; Aarnoudse-Moens, Cornelieke S.H. ; Weber, Elske H. ; de Groof, Femke ; van Laerhoven, Henriette ; Counsilman, Clare E. ; van der Schoor, Sophie R.D. ; Rijpert, Maarten ; Schiering, Irene A. ; Wilms, Janneke ; Leemhuis, Aleid G. ; Onland, Wes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c359t-ddad25856a94c1dc7a4775dc6ad36bbb2ec7a85898b284a5b5e8da08a6f04c523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bronchopulmonary Dysplasia - diagnosis</topic><topic>Child</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Infant, Premature</topic><topic>Prognosis</topic><topic>Retrospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Katz, Trixie A.</creatorcontrib><creatorcontrib>van Kaam, Anton H.</creatorcontrib><creatorcontrib>Schuit, Ewoud</creatorcontrib><creatorcontrib>Mugie, Suzanne M.</creatorcontrib><creatorcontrib>Aarnoudse-Moens, Cornelieke S.H.</creatorcontrib><creatorcontrib>Weber, Elske H.</creatorcontrib><creatorcontrib>de Groof, Femke</creatorcontrib><creatorcontrib>van Laerhoven, Henriette</creatorcontrib><creatorcontrib>Counsilman, Clare E.</creatorcontrib><creatorcontrib>van der Schoor, Sophie R.D.</creatorcontrib><creatorcontrib>Rijpert, Maarten</creatorcontrib><creatorcontrib>Schiering, Irene A.</creatorcontrib><creatorcontrib>Wilms, Janneke</creatorcontrib><creatorcontrib>Leemhuis, Aleid G.</creatorcontrib><creatorcontrib>Onland, Wes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Katz, Trixie A.</au><au>van Kaam, Anton H.</au><au>Schuit, Ewoud</au><au>Mugie, Suzanne M.</au><au>Aarnoudse-Moens, Cornelieke S.H.</au><au>Weber, Elske H.</au><au>de Groof, Femke</au><au>van Laerhoven, Henriette</au><au>Counsilman, Clare E.</au><au>van der Schoor, Sophie R.D.</au><au>Rijpert, Maarten</au><au>Schiering, Irene A.</au><au>Wilms, Janneke</au><au>Leemhuis, Aleid G.</au><au>Onland, Wes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of New Bronchopulmonary Dysplasia Definitions on Long-Term Outcomes in Preterm Infants</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>2023-02</date><risdate>2023</risdate><volume>253</volume><spage>86</spage><epage>93.e4</epage><pages>86-93.e4</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>To compare the discriminative performances of the 2018 National Institutes of Health (NIH) and the 2019 Jensen definitions of bronchopulmonary dysplasia (BPD) with the 2001 NIH definition on adverse neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age.
In this single-center retrospective cohort study, outcomes of infants born at <30 weeks of gestational age were collected. The 3 definitions of BPD were compared by adding the different definitions to the National Institute of Child Health and Human Development's outcome prediction model for neurodevelopmental impairment (NDI) or death. Discriminative performance was compared for both outcomes at 2 years and 5 years corrected age by calculating the areas under the receiver operating characteristic curve and z-statistics.
The presence of BPD and its severity were determined in 584 infants. There were considerable shifts in BPD grading among the different definitions. At both time points, all BPD definition models had comparable discriminating power for NDI and respiratory morbidity, with one exception. Compared with the 2001 NIH definition, the 2018 NIH definition had less predictive power for the neurologic outcome at 2 years corrected age.
Our comparison of the 3 BPD definitions shows similar discriminative performance on long term neurodevelopmental and respiratory outcomes at 2 years and 5 years corrected age.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>36150504</pmid><doi>10.1016/j.jpeds.2022.09.022</doi><orcidid>https://orcid.org/0000-0002-9623-0606</orcidid></addata></record> |
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| source | ScienceDirect Journals |
| subjects | Bronchopulmonary Dysplasia - diagnosis Child Gestational Age Humans Infant Infant, Newborn Infant, Premature Prognosis Retrospective Studies |
| title | Comparison of New Bronchopulmonary Dysplasia Definitions on Long-Term Outcomes in Preterm Infants |
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