Systemic hypertension in very low-birth weight infants with bronchopulmonary dysplasia

Incidence and risk factors

A. Alagappan, Michael Malloy

Research output: Contribution to journalArticle

41 Citations (Scopus)

Abstract

The purpose of our study was to determine if systemic hypertension (HTN) occurred among infants with birth weight less than 1250 g (very low-birth- weight [VLBW]infants) in association with Bronchopulmonary dysplasia (BPD). We designed a historical cohort study to review the clinical course and the occurrence of systemic HTN in infants born during the year 1992 with birth weights between 600-1250 g. The overall incidence of HTN was 6.8% (5 of 73) and the incidence in infants with BPD was 12% (5 of 41). The mean age of onset of HTN was 105 days (range 90 to 133 days), and at the time of discharge 3 of 5 (60%) infants remained hypertensive and 3 of 5 (60%) were on supplemental oxygen. All the five hypertension infants (100%) were on supplemental oxygen at 36 weeks of postceptional age compared to 18 of 36 (50%) of nonhypertensive BPD infants. The association between HTN and severe BPD was further denoted by longer hospital stay (145 ± 37 vs. 94 ± 28 days, p = 0.004), longer duration of O2 therapy (108 ± 36 vs. 67 ± 34 days, p = 0.01), and prolonged use of aminophylline (104 ± 44 vs. 61 ± 23 days, p = 0.03), in the hypertensive BPD infants versus nonhypertensive BPD infants, respectively. This study substantiates an increased risk of developing systemic HTN, among VLBW infants with severe BPD.

Original languageEnglish (US)
Pages (from-to)3-8
Number of pages6
JournalAmerican Journal of Perinatology
Volume15
Issue number1
StatePublished - Jan 1998

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Bronchopulmonary Dysplasia
Very Low Birth Weight Infant
Hypertension
Incidence
Birth Weight
Oxygen
Aminophylline
Age of Onset
Length of Stay
Cohort Studies

Keywords

  • Bronchopulmonary dysplasia
  • Hypertension
  • Very low-birth weight infants

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

Cite this

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abstract = "The purpose of our study was to determine if systemic hypertension (HTN) occurred among infants with birth weight less than 1250 g (very low-birth- weight [VLBW]infants) in association with Bronchopulmonary dysplasia (BPD). We designed a historical cohort study to review the clinical course and the occurrence of systemic HTN in infants born during the year 1992 with birth weights between 600-1250 g. The overall incidence of HTN was 6.8{\%} (5 of 73) and the incidence in infants with BPD was 12{\%} (5 of 41). The mean age of onset of HTN was 105 days (range 90 to 133 days), and at the time of discharge 3 of 5 (60{\%}) infants remained hypertensive and 3 of 5 (60{\%}) were on supplemental oxygen. All the five hypertension infants (100{\%}) were on supplemental oxygen at 36 weeks of postceptional age compared to 18 of 36 (50{\%}) of nonhypertensive BPD infants. The association between HTN and severe BPD was further denoted by longer hospital stay (145 ± 37 vs. 94 ± 28 days, p = 0.004), longer duration of O2 therapy (108 ± 36 vs. 67 ± 34 days, p = 0.01), and prolonged use of aminophylline (104 ± 44 vs. 61 ± 23 days, p = 0.03), in the hypertensive BPD infants versus nonhypertensive BPD infants, respectively. This study substantiates an increased risk of developing systemic HTN, among VLBW infants with severe BPD.",
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