Furosemide Exposure and Prevention of Bronchopulmonary Dysplasia in Premature Infants.

Journal Article (Journal Article;Multicenter Study)

OBJECTIVE: To evaluate the association between furosemide exposure and risk of bronchopulmonary dysplasia (BPD). STUDY DESIGN: This retrospective cohort study included infants (2004-2015) born at 23-29 weeks gestational age and 501-1249 g birth weight. We compared the demographic and clinical characteristics of infants exposed and not exposed to furosemide between postnatal day 7 and 36 weeks postmenstrual age. We examined the association between furosemide exposure and 2 outcomes: BPD and BPD or death. We performed multivariable probit regression models that included demographic and clinical variables in addition to 2 instrumental variables: furosemide exposure by discharge year, and furosemide exposure by site. RESULTS: Of 37 693 included infants, 19 235 (51%) were exposed to furosemide; these infants were more premature and had higher respiratory support. Of 33 760 infants who survived to BPD evaluation, 15 954 (47%) had BPD. An increase in the proportion of furosemide exposure days by 10 percentage points was associated with a decrease in both the incidence of BPD (4.6 percentage points; P = .001), and BPD or death (3.7 percentage points; P = .01). CONCLUSIONS: More days of furosemide exposure between postnatal day 7 and 36 weeks was associated with decreased risk of BPD and a combined outcome of BPD or death.

Full Text

Duke Authors

Cited Authors

  • Greenberg, RG; Gayam, S; Savage, D; Tong, A; Gorham, D; Sholomon, A; Clark, RH; Benjamin, DK; Laughon, M; Smith, PB; Best Pharmaceuticals for Children Act—Pediatric Trials Network Steering Committee,

Published Date

  • May 2019

Published In

Volume / Issue

  • 208 /

Start / End Page

  • 134 - 140.e2

PubMed ID

  • 30579586

Pubmed Central ID

  • PMC6486845

Electronic International Standard Serial Number (EISSN)

  • 1097-6833

Digital Object Identifier (DOI)

  • 10.1016/j.jpeds.2018.11.043


  • eng

Conference Location

  • United States