Evidence map›Paper›PMID 41291560›Full record

ArticleBMC pediatrics2025

Development and validation of machine learning models for predicting bronchopulmonary dysplasia risk in preterm neonates based on antenatal determinants: a retrospective cohort study.

Haiyan Guo, Jingwei Huang, Lulu Xu, Yuanzhi Li, Lili Wang, Yufeng Zhou

Abstract readValidation Study
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Haiyan Guo *Fujian Key Laboratory of Neonatal Diseases, Xiamen Key Laboratory of Neonatal Diseases, Xiamen Children's Hospital (Childen's Hospital of Fudan University at Xiamen),, Xiamen, China.
Jingwei Huang *Department of Neonatology, the First Affiliated Hospital of Anhui Medical University, Anhui, Hefei, 230022, China.
Lulu Xu *Department of Neonatology, the First Affiliated Hospital of Anhui Medical University, Anhui, Hefei, 230022, China.
Yuanzhi LiDepartment of Neonatology, Anhui Women and Children's Medical Center, 15 Yimin Street, Hefei, China.
Lili WangDepartment of Neonatology, the First Affiliated Hospital of Anhui Medical University, Anhui, Hefei, 230022, China. wangliliay@163.com.
Yufeng ZhouFujian Key Laboratory of Neonatal Diseases, Xiamen Key Laboratory of Neonatal Diseases, Xiamen Children's Hospital (Childen's Hospital of Fudan University at Xiamen),, Xiamen, China. yfzhou1@fudan.edu.cn.

Funding

"Medicine + X" Interdisciplinary Innovation Team Incubation Program (Key Project) of Children's Hospital of Fudan University EKYX202410National Key Research and Development Program of China 2024YFC3405900, 2024YFC3405903National Natural Science Foundation of China 82241038, 81974248Xiamen Key Healthcare Projects 3502Z20244005
6 · The paper itself

Abstract

backgroundBronchopulmonary dysplasia (BPD) remains one of the most common and serious complications in preterm infants. This study aimed to develop and validate machine learning (ML) algorithms to predict the risk of BPD in preterm neonates based on potential antenatal risk factors.

methodsThis retrospective study included 644 preterm infants with gestational age (GA) < 32 weeks who were hospitalized between January 2019 and December 2022. Of these, 450 and 194 infants were assigned to the training and internal validation cohorts, respectively. An independent external validation external validation cohort comprising 141 infants born between January 2023 and December 2023 was also included. Clinical data, including maternal prenatal history and early neonatal parameters, were obtained from the electronic medical records system. Least absolute shrinkage and selection operator was used for feature selection. Ten ML models were developed using the selected variables. Model performance was assessed based on discrimination (AUROC), calibration, and discrimination were evaluated in both internal and external validation cohorts.

resultsThe overall incidence of BPD among preterm infants with GA < 32 weeks was 35.09%. Univariate logistic analysis identified 13 statistically significant predictors of BPD (p < 0.05). Multivariable logistic regression analysis confirmed GA, gravidity, and prenatal immunosuppressants use as independent risk factors. Among the ten ML models evaluated, LR algorithm demonstrated the best overall performance, with the highest F1 score and consistent results across both internal and external validation cohorts.

conclusionsGA, gravidity, and prenatal immunosuppressants use are independent predictors of BPD in preterm infants. The LR model showed superior predictive performance and robustness across datasets, suggesting its potential utility in clinical decision-making for early BPD risk stratification.

Indexed as

Bronchopulmonary DysplasiaMachine LearningClassification AlgorithmsFemaleGestational AgeHumansInfant, NewbornInfant, PrematureMalePrediction AlgorithmsPredictive Learning ModelsRetrospective StudiesRisk AssessmentRisk FactorsBronchopulmonary dysplasiaMachine learningPrenatal maternal factorsPreterm infants

Identifiers

PMID41291560
PMCPMC12645774

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.