Selective early medical treatment of the patent ductus arteriosus in extremely low gestational age infants: a pilot randomised controlled trial protocol (SMART-PDA)

Autor: Jon Dorling, Lehana Thabane, Souvik Mitra, Anup C Katheria, Walid El-Naggar, Dany E Weisz, Amish Jain, Michael Castaldo, Patrick J McNamara, Abbas Hyderi, Kumar Kumaran, Tara Hatfield, Audrey Hebert, Jenny Koo, Tim Disher, Santokh Dhillon, Ziad Alhassen, Marjorie Makoni, Fabiana Bacchini, Austin Cameron
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: BMJ Open, Vol 14, Iss 7 (2024)
Druh dokumentu: article
ISSN: 2044-6055
DOI: 10.1136/bmjopen-2024-087998
Popis: Introduction Patent ductus arteriosus (PDA) is the most common cardiovascular problem that develops in extremely preterm infants and is associated with poor clinical outcomes. Uncertainty exists on whether early pharmacotherapeutic treatment of a clinically symptomatic and echocardiography-confirmed haemodynamically significant PDA in extremely preterm infants improves outcomes. Given the wide variation in the approach to PDA treatment in this gestational age (GA) group, a randomised trial design is essential to address the question. Before embarking on a large RCT in this vulnerable population, it is important to establish the feasibility of such a trial.Methods and analysis Design: a multi-centre, open-labelled, parallel-designed pilot randomised controlled trial.Participants: preterm infants born
Databáze: Directory of Open Access Journals