Journal article
Clinical validity of systemic arterial steal among extremely preterm infants with persistent patent ductus arteriosus
Journal of perinatology, Vol.41(1), pp.84-92
01/01/2021
DOI: 10.1038/s41372-020-0663-8
PMID: 32393829
Abstract
Objective Investigate relevance of diastolic flow abnormalities in celiac trunk (aCT) and middle cerebral artery (aMCA) among preterms with persistent hemodynamically significant patent ductus arteriosus (phsPDA, diameter >= 1.5 mm, and age >= 7 days). Study design Five hundred fifteen echocardiograms from 156 neonates born <28 weeks gestation age (GA) were analyzed retrospectively. Infants with aCT or aMCA at any time were compared with the rest. Separate comparisons were performed for aCT and aMCA. Primary outcome was composite of death, chronic lung disease (CLD), or necrotizing enterocolitis >= stage 2. Logistic regression was used to adjust for confounders. Result Mean (SD) weight and GA were 820(214) g and 25.2(1.3) weeks. aMCA, but not aCT, was associated with primary outcome [adjusted odds ratio 2.17, 95% CI: 1.01-4.67] and CLD [2.20 (0.99-4.87)]. Conclusion aMCA may be a valid marker for defining the clinical significance of phsPDA in preterm neonates. aCeT may be of limited value in selecting patients for treatment.
Details
- Title: Subtitle
- Clinical validity of systemic arterial steal among extremely preterm infants with persistent patent ductus arteriosus
- Creators
- Lieke Keusters - Mount Sinai HospitalJyotsna Purna - Mount Sinai HospitalPoorva Deshpande - Mount Sinai HospitalLuc Mertens - University of TorontoPrakeshkumar Shah - Mount Sinai HospitalPatrick J. McNamara - University of TorontoDany E. Weisz - Sunnybrook Health Science CentreAmish Jain - Mount Sinai Hospital
- Resource Type
- Journal article
- Publication Details
- Journal of perinatology, Vol.41(1), pp.84-92
- Publisher
- Springer Nature
- DOI
- 10.1038/s41372-020-0663-8
- PMID
- 32393829
- ISSN
- 0743-8346
- eISSN
- 1476-5543
- Number of pages
- 9
- Language
- English
- Date published
- 01/01/2021
- Academic Unit
- Stead Family Department of Pediatrics; Neonatology; Internal Medicine
- Record Identifier
- 9984354038702771
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