Patent Ductus Arteriosus
Conditions
Keywords
Patent Ductus Arteriosus, PDA, Term newborns, Ibuprofen
Brief summary
The aim of current study is to evaluate the efficacy and safety of oral Ibuprofen in term 20-28 days old newborn referred to Bandarabbas children' hospital in 2011.
Detailed description
Patent Ductus Arteriosus (PDA) accounts for about 10% of Congenital Heart Disease. Surgical treatment in PDA is associated with higher rate of complication than pharmacologic treatment. Efficacy of Ibuprofen is shown in preterm and low birth weights newborn with PDA. Studies in term neonates after the first days of birth are rare. The aim of current study is to evaluate the efficacy and safety of oral Ibuprofen in term 20-28 days old newborn referred to Bandarabbas children' hospital in 2011.
Interventions
10mg/kg oral ibuprofen followed by two 5mg/kg in 12 hours intervals. If there was no improvement after first cycle of treatment this treatment was repeated.
Sponsors
Study design
Eligibility
Inclusion criteria
* Term newborn (37 weeks of gestation or more) * Age between 20-28 days * confirmed diagnosis of PDA by echocardiography by pediatric cardiologist
Exclusion criteria
* Asphyxia * Hemorrhage * Platelet count \< 150000 * renal or gastrointestinal malformations * associated congenital heart disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| PDA closure after 1 week | 1 weeks after treatment | PDA closure after 1 week of treatment based on echocardiography |
| PDA closure after two weeks | 2 weeks after treatment | PDA closure two weeks after treatment based on echocardiography |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Drug side effects | two weeks after treatment | hemorrhage, abdominal distention, oliguria |
Countries
Iran