Health Condition 1: I00-I99- Diseases of the circulatory system
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Neonates born in the unit between 25 to 29 weeks and 6 days will be eligible for inclusion
Exclusion criteria
Exclusion criteria: 1. Antenatally suspected or proven congenital heart disease 2. Suspected congenital heart disease (other than PDA) on the first screening postnatal echocardiography (would be however included if proven as normal by a Pediatric cardiologist before the echo done on day 2) 3. Major or life threatening congenital malformation 4. Suspected congenital rubella infection based on the maternal positive serology for IgM rubella antibodies anytime during the current pregnancy 5. PDA that did not remain open beyond 24 hours of age as well as did not cause a PDA ssociated acute hemodynamic worsening in the first 24 hours of life All consecutively inborn neonates in the gestational age of 25 to 29 6/7 weeks would be screened with Portable Ultrasound Machine between 12-24 hours of life for presence of patent ductus arteriosus with pure or predominant left to right shunt across the ductus arteriosus as per the unit policy. Is the subject
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| A composite outcome of: Mortality, Bronchopulmonary dysplasia, Retinopathy of prematurity requiring laser therapy, advanced Necrotising Enterocolitis(stage 2A), Major Intraventricular hemorrhage (grade 3 and above), Periventricular leukomalaciaTimepoint: 36 weeks of corrected age or at discharge whichever is earlier | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) PDA associated acute worsening by discharge 2)Mortality before 14 days of life 3) Mortality, bronchopulmonary dysplasia, retinopathy of prematurity requiring laser, advanced necrotising enterocolitis(stage 2A), Major intraventricular haemorrhage (grade 3 and above), periventricular leukomalaciaTimepoint: 36 weeks postmenstrual age | — |
Countries
India
Contacts
Fernandez hospital, Hyderabad