Health Condition 1: P29- Cardiovascular disorders originating in the perinatal period
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All preterm babies less than 30 weeks of gestation with hemodynamically significant patent ductus arteriosus (PDA) on trearment with oral Ibuprofen.
Exclusion criteria
Exclusion criteria: 1. Contraindications for the use of ibuprofen (active bleeding, especially intracranial hemorrhage within 48 hours or gastrointestinal bleeding, thrombocytopenia(platelet count 1.5 mg/dl) 2. Congenital heart disease in which patency of the ductus arteriosus is necessary for satisfactory pulmonary or systemic blood flow 3. Major congenital anomalies. 4. Chromosomal anomalies 5. Congenital or acquired gastrointestinal anomalies 6. Prior episodes of necrotizing enterocolitis or intestinal perforation 7. Severe shock requiring > 2 Inotropes for hypotension at the time of entry 8. Treatment of PDA after first week of life 9. Babies on maximal enteral nutrition > 60 ml/kg/ day
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Time taken to reach full feeds ( 120 ml/kg/day)Timepoint: Time taken to reach full feeds ( 120 ml/kg/day) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Number of episodes of feed intolerance 2.NEC/ spontaneous intestinal perforation prior to reaching 120 ml/k/d 3.NEC/ spontaneous intestinal perforation any time during hospitalization 4.Number of days of respiratory support 5.Number of days of hospitalization 6.Number of babies with sepsis 7.Mortality 8.Intraventricular hemorrhage (grade 2 according to Volpe classification) 9.Periventricular leukomalacia 10. BPD 11.ROP stage 2 as defined by international classification Timepoint: Till death or discharge of patient | — |
Countries
India
Contacts
LokmanyaTilak Municipal Medical College & LokmanyaTilak Municipal General Hospital, Mumbai