Health Condition 1: Q250- Patent ductus arteriosus
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All preterm babies < 36 weeks admitted to NICU with hemodynamically significant PDA
Exclusion criteria
Exclusion criteria: A.Neonates with critical congenital cardiac disease B.Neonates with contraindication for the Ibuprofen 1.Thrombocytopenia â?? PLT 2.IVH grade 2 or more 3.NNEC grade 2 or more 4.Serum creatinine >1.6 MG/DL 5.Serum Urea >60 MG/DL 6.Serum bilirubin level within 2mg/dl of the exchange range as per NICE guidelines. 7.Coagulopathy â?? deranged PT or aPTT value (adjusted for gestational age and post natal age).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the closure rates of patent ductus arteriosus in high dose ibuprofen and standard dose ibuprofenTimepoint: on 4th day since starting the treatment. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.Time take for the closure of the PDA 2.Number of course needed 3.Incidence of re-opening of pda 4.To compare the adverse events associated with ibuprofen usage â?? thrombocytopenia , acute kidney injury, oliguria, necrotizing enterocollitis and intra-ventricular hemorrhage 5.To compare adverse associated with HSPDA - increased ventilator requirement, pulmonary hemorrhage, duration of mechanical ventilation, mean fio2 requirement and duration of requirement any respiratory support. Timepoint: Till 4th day since starting the treatment. | — |
Countries
India
Contacts
Dr Mehta Multispeciality Hospitals India Pvt. Ltd.