Clinical validity of systemic arterial steal among extremely preterm infants with persistent patent ductus arteriosus
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.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
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| Enthalten in: |
Journal of perinatology : official journal of the California Perinatal Association - 41(2021), 1 vom: 11. Jan., Seite 84-92 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Keusters, Lieke [VerfasserIn] |
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| Links: |
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| Themen: |
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| Anmerkungen: |
Date Completed 31.08.2021 Date Revised 31.08.2021 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1038/s41372-020-0663-8 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM30976971X |
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| 245 | 1 | 0 | |a Clinical validity of systemic arterial steal among extremely preterm infants with persistent patent ductus arteriosus |
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| 500 | |a Date Completed 31.08.2021 | ||
| 500 | |a Date Revised 31.08.2021 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a 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) | ||
| 520 | |a 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 | ||
| 520 | |a 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)] | ||
| 520 | |a 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 | ||
| 650 | 4 | |a Journal Article | |
| 700 | 1 | |a Purna, Jyotsna |e verfasserin |4 aut | |
| 700 | 1 | |a Deshpande, Poorva |e verfasserin |4 aut | |
| 700 | 1 | |a Mertens, Luc |e verfasserin |4 aut | |
| 700 | 1 | |a Shah, Prakeshkumar |e verfasserin |4 aut | |
| 700 | 1 | |a McNamara, Patrick J |e verfasserin |4 aut | |
| 700 | 1 | |a Weisz, Dany E |e verfasserin |4 aut | |
| 700 | 1 | |a Jain, Amish |e verfasserin |4 aut | |
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