Wang CS, Kou YF, Shah GB, et al. - Given the increasing rate of bronchopulmonary dysplasia (BPD) and invasive respiratory support among extremely preterm neonates, researchers here examined if a corresponding increase has occurred in tracheostomies. They hypothesized that extremely preterm neonates with BPD may exhibit increased incidence of tracheostomy. In this retrospective cross‐sectional analysis, data of 1,418,681 preterm neonates (52% male, 50% white, 19% black, 20% Hispanic, 4.2% Asian) were included from 2006 to 2012 Kids’ Inpatient Databases (KID). Among these infants, 118,676 (8.4%) were extremely preterm (gestational age ≤ 28 weeks or birth weight ≤ 1,500 g). Per findings, there was a marked increase in tracheostomies placed from 2006 to 2012, as well as an increased incidence of BPD, among extremely preterm neonates, compared with nonextremely preterm neonates, confirming their study hypothesis. .