Bronchopulmonary dysplasia is not associated with ultrasound-defined cerebral white matter damage in preterm newborns

Pediatr Res. 2004 Feb;55(2):319-25. doi: 10.1203/01.PDR.0000100906.09524.88. Epub 2003 Nov 6.

Abstract

Bronchopulmonary dysplasia (BPD) and cerebral white matter damage (WMD) are neonatal disorders that occur most commonly in those who are born much before term. In a large multicenter database, we sought to determine whether the two disorders occur together more frequently than expected and whether BPD and other neonatal respiratory characteristics are more common among infants who develop ultrasound-defined WMD than among those who do not. In a sample of 904 infants who were born before the 30th week of gestation and survived until 36 wk postmenstrual age, we did not find a co-occurrence of BPD and WMD above what would be expected by chance. Confounding does not seem to account for this lack of association between WMD and BPD. In conclusion, our findings do not support the hypothesis that BPD contributes to the occurrence of sonographically defined WMD.

Publication types

  • Multicenter Study
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Brain Diseases / diagnostic imaging*
  • Brain Diseases / epidemiology*
  • Brain Diseases / pathology
  • Bronchopulmonary Dysplasia / epidemiology*
  • Cesarean Section
  • Comorbidity
  • Databases, Factual
  • Humans
  • Infant, Newborn
  • Infant, Premature*
  • Multivariate Analysis
  • Nerve Fibers, Myelinated / diagnostic imaging*
  • Nerve Fibers, Myelinated / pathology
  • Placenta / blood supply
  • Risk Factors
  • Ultrasonography
  • Vasculitis / epidemiology