Am J Perinatol 2013; 30(04): 289-296
DOI: 10.1055/s-0032-1324696
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Early versus Conventional Treatment for Patent Ductus Arteriosus in Preterm Infants

Júlia Candel-Pau
1   Vall d'Hebron Research Institute, Barcelona, Spain
2   Neonatology Unit, Hospital Universitario Vall d'Hebrón, Barcelona, Spain
,
Ángeles Linde Sillo
2   Neonatology Unit, Hospital Universitario Vall d'Hebrón, Barcelona, Spain
,
Félix Castillo Salinas
2   Neonatology Unit, Hospital Universitario Vall d'Hebrón, Barcelona, Spain
,
Ermengol Coma Redon
3   Department of Epidemiology and Preventive Medicine, Hospital Universitario Vall d'Hebrón, Barcelona, Spain
,
Queralt Ferrer Menduiña
4   Department of Pediatric Cardiology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain
,
Dimpna C. Albert
4   Department of Pediatric Cardiology, Hospital Universitario Vall d'Hebrón, Barcelona, Spain
› Author Affiliations
Further Information

Publication History

28 October 2011

18 May 2012

Publication Date:
23 August 2012 (online)

Preview

Abstract

Objective After the introduction of a new protocol based on the early treatment with indomethacin for patent ductus arteriosus, the objective of this study was to assess the safety and efficacy of this new practice in comparison with the safety and efficacy of the conventional treatment in a high-risk population.

Study Design We conducted a retrospective cohort study including 154 newborns with an average gestational age of 26.4 weeks (1.37 standard deviation) and an average birth weight of 855 g (201.5 standard deviation). A statistically descriptive analysis was performed with SPSS Statistics Pack version 17.0.

Results and Conclusions We did not find any statistically significant differences in the clinical features of the two treatment groups, nor in the main efficacy, morbidity, and mortality results.