Respiratory severity score-guided postnatal systemic corticosteroid therapy for bronchopulmonary dysplasia in extremely preterm infants.

For neurodevelopmental outcomes, the proportion of death or any NDI tended to decrease in phase II compared to phase I, although the difference did not reach statistical significance (22.2% vs. 6.1%; aOR [95% CI], 0.28 [0.04–1.91]; P =0.195).

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If the RSS is less than 4 or if the ventilator settings are showing a decreasing trend, treatment is withheld, and continuous RSS monitoring is performed weekly.

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