Patent ductus arteriosus – clinical profile and outcome after treatment in a tertiary care hospital
Journal Title: Pediatric Review: International Journal of Pediatric Research - Year 2017, Vol 4, Issue 2
Abstract
Background: Patent ductus arteriosus (PDA) is the commonest congenital heart disease seen in neonatal ICU. Methods: A prospective observational study was conducted in the neonatal intensive care unit of Vydehi institute of medical sciences between January 2013 to December 2016. Neonates suspected to have congenital heart disease in the NICU on the basis of history clinical examination, pulse oximetry, chest X ray were included in the study and confirmed by 2D echocardiography and colour Doppler study. PDA if found hemodynamically significant treated with a three-day course of Ibubrufen and data analyzed. Results: A total of 2658 cases were admitted in the NICU during the study period of which 1974 cases were screened for CHDs. Out of 1974 babies, Echo done showed 65 babies had PDA. Out of 65 cases with PDA 32 were hemodynamically significant. About 25 out of 32 cases had responded to treatment with Ibubrufen. Ductus were closed in 5 out of 9 large PDAs. About 48% of the PDAs were closed by 5th day of starting the treatment. Conclusion: The study shows PDA is a commonest Acyanotic CHD in NICU and early administration of the drug is helpful in closure, avoiding surgical correction later and also mortality.
Authors and Affiliations
Dinakara Prithviraj, Bharath Reddy, Rajeshwari S, Utkarsh Jain
Keywords
Related Articles
- EP ID EP277499
- DOI 10.17511/ijpr.2017.02.13
- Views 132
- Downloads 0
Cord blood nucleated RBCs – an early marker of birth Asphyxia
Introduction: Birth asphyxia can cause morbidity and mortality to newborn babies. One of the leading indicators of birth asphyxia is the presence of nucleated red blood corpuscles (NRBCs) in cord blood of the newborn tak...
Clinical and hematological profile of sickle cell disease affected children in rural tertiary level hospital
Introduction: Sickle cell disease is commonly seen in rural population of western part of India. It is one of the common causes of recurrent hospitalization, morbidity and mortality in pediatric population. As there are...
Validation of SICK score - A severity of illness scoring system at a tertiary care centre in Puducherry
Objectives: Validation of SICK score for its ability to predict out come. Validation based on predominant system involved. Methods: Prospective study done at tertiary care centre in puducherry. Inclusion criteria: All ch...
Acute undifferentiated fever in children- an overview
Fever is one of the common reason for OPD as well as in patient admission department. Due to improvements of laboratory facilities & imaging the incidence and etiological profile of fever have drastically changed. Proper...
Microbiological profile of Nosocomial infections in the pediatric patients admitted to intensive care unit
Aim: Nosocomial infections are major public health concern in intensive care unit which is associated with increase in the morbidity and the mortality. Our aim is to study the incidence of nosocomial infection, site of i...