RT Journal Article SR Electronic T1 Online clinical tool to estimate risk of bronchopulmonary dysplasia in extremely preterm infants JF Archives of Disease in Childhood - Fetal and Neonatal Edition JO Arch Dis Child Fetal Neonatal Ed FD BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health SP 638 OP 643 DO 10.1136/archdischild-2021-323573 VO 107 IS 6 A1 Greenberg, Rachel G A1 McDonald, Scott A A1 Laughon, Matthew M A1 Tanaka, David A1 Jensen, Erik A1 Van Meurs, Krisa A1 Eichenwald, Eric A1 Brumbaugh, Jane E A1 Duncan, Andrea A1 Walsh, Michele A1 Das, Abhik A1 Cotten, C Michael A1 YR 2022 UL http://fn.bmj.com/content/107/6/638.abstract AB Objective Develop an online estimator that accurately predicts bronchopulmonary dysplasia (BPD) severity or death using readily-available demographic and clinical data.Design Retrospective analysis of data entered into a prospective registry.Setting Infants cared for at centres of the United States Neonatal Research Network between 2011 and 2017.Patients Infants 501–1250 g birth weight and 23 0/7–28 6/7 weeks’ gestation.Interventions None.Main outcome measures Separate multinomial regression models for postnatal days 1, 3, 7, 14 and 28 were developed to estimate the individual probabilities of death or BPD severity (no BPD, grade 1 BPD, grade 2 BPD, grade 3 BPD) defined according to the mode of respiratory support administered at 36 weeks’ postmenstrual age.Results Among 9181 included infants, birth weight was most predictive of death or BPD severity on postnatal day 1, while mode of respiratory support was the most predictive factor on days 3, 7, 14 and 28. The predictive accuracy of the models increased at each time period from postnatal day 1 (C-statistic: 0.674) to postnatal day 28 (C-statistic 0.741). We used these results to develop a web-based model that provides predicted estimates for BPD by postnatal day.Conclusion The probability of BPD or death in extremely preterm infants can be estimated with reasonable accuracy using a limited amount of readily available clinical information. This tool may aid clinical prognostication, future research, and center-specific quality improvement surrounding BPD prevention.Trial registration number NCT00063063 Data are available upon reasonable request. Data reported in this paper may be requested through a data use agreement. Further details are available at https://neonatal.rti.org/index.cfm?fuseaction=DataRequest.Home.