Pulmonary Hypertension Screening in Patients with Bronchopulmonary Dysplasia Clinical Pathway — ICU and Inpatient

Diagnostic Criteria and Severity Grading of BPD

Diagnostic Criteria for BPD

  • Gestational age at birth < 32 weeks AND
  • Ongoing respiratory support at a postmenstrual age (PMA) of 36 weeks

Both criteria must be present to make a diagnosis of BPD.

Grading Severity of BPD

  • If BPD diagnostic criteria are met, grade BPD severity.
  • Grading BPD severity is based on:
    • Mode of respiratory support administered at 36 weeks PMA.
    • Irrespective of the amount of supplemental oxygen.

There are multiple definitions available to diagnose BPD

The definition used in this pathway is data-driven, and linked to patient outcomes.

A comparison of the performance of this definition to others in the literature is available in the publication by Jensen et al: The Diagnosis of Bronchopulmonary Dysplasia in Very Preterm Infants. An Evidence-based Approach