Patent ductus arteriosus evaluation by serial echocardiography in preterm infants
- 3 April 2008
- journal article
- Published by Wiley in Acta Paediatrica
- Vol. 97 (5), 574-578
- https://doi.org/10.1111/j.1651-2227.2008.00745.x
Abstract
Background: Patent ductus arteriosus (PDA) is associated with morbidity and mortality in premature neonates. Methods: The effect of serial echocardiography performed by a neonatologist and early targeted medical PDA treatment was evaluated and compared to historical controls. One hundred ninety-two infants <1500 g were included and 45 infants had a PDA. Results: Serial echocardiography allowed significantly earlier identification and treatment of PDA versus awaiting the evolution of clinical signs. Severe intraventricular haemorrhage and ventilator days were significantly decreased in the studied cohort following the introduction of echocardiography. In addition, hospital stay was also reduced in the non-PDA group and other outcomes were unchanged. Conclusion: Serial echocardiography for PDA evaluation, performed by a neonatologist trained in echo, may reduce morbidity in preterm infant.Keywords
This publication has 19 references indexed in Scilit:
- Quantitative Assessment of the Degree of Ductal Steal Using Celiac Artery Blood Flow to Left Ventricular Output Ratio in Preterm InfantsNeonatology, 2007
- Comparison of ibuprofen and indometacin for early-targeted treatment of patent ductus arteriosus in extremely premature infants: a randomised controlled trialArchives of Disease in Childhood: Fetal & Neonatal, 2007
- Functional Echocardiography: An Emerging Clinical Tool for the NeonatologistThe Journal of Pediatrics, 2007
- Cerebellar Hemorrhage in the Preterm Infant: Ultrasonographic Findings and Risk FactorsPediatrics, 2005
- Prophylactic Ibuprofen for the Prevention of Intraventricular Hemorrhage Among Preterm Infants: A Multicenter, Randomized StudyPediatrics, 2005
- A study of congenital cardiac disease in a neonatal population – the validity of echocardiography undertaken by a neonatologistCardiology in the Young, 2004
- Evaluation of echocardiography on the neonatal unitArchives of Disease in Childhood: Fetal & Neonatal, 2003
- Influence of infection on patent ductus arteriosus and chronic lung disease in premature infants weighing 1000 grams or lessThe Journal of Pediatrics, 1996
- A blinded comparison of clinical and echocardiographic evaluation of the preterm infant for patent ductus arteriosusJournal of Paediatrics and Child Health, 1994
- Risk Factors for Developing and Dying from Necrotizing EnterocolitisJournal of Pediatric Gastroenterology and Nutrition, 1986