Effect of prophylactic indomethacin in extremely low birth weight infants / 소아과
Korean Journal of Pediatrics
; : 959-965, 2006.
Article
en Ko
| WPRIM
| ID: wpr-181336
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: The purpose of this study was to investigate the effect of prophylactic indomethacin on reduction of patent ductus arteriosus(PDA) and intraventricular hemorrhage(IVH) in extremely low birth weight infants(ELBWI). METHODS: Retrospective review of 84 ELBWI who were admitted to our neonatal intensive care unit from June 2004 to April 2006 was performed. Patients were divided into prophylactic group(n=28) and control group(n=56), where prophylactic indomethacin were given within 6 hours after birth. Clinical outcomes were compared between these groups. RESULTS: There were no significant differences in gestational age, birth weight, incidence of hemodynamically significant PDA and severe IVH, and mortality between prophylactic group and control group. However, there were more frequent indications for therapeutic indomethacin, higher incidence of intestinal perforation, and longer time to achieve full enteral feeding in prophylactic group than control group. The incidence of other adverse events attributed to indomethacin prophylaxis did not differ between two groups. CONCLUSIONS: Prophylactic indomethacin may not prevent hemodynamically significant PDA and severe IVH in ELBWI. On the contrary, it may be associated with increased risk of adverse events. Further efforts should be investigated to decrease PDA and severe IVH in ELBWI.
Palabras clave
Texto completo:
1
Índice:
WPRIM
Asunto principal:
Peso al Nacer
/
Recién Nacido de Bajo Peso
/
Cuidado Intensivo Neonatal
/
Indometacina
/
Incidencia
/
Estudios Retrospectivos
/
Mortalidad
/
Edad Gestacional
/
Nutrición Enteral
/
Parto
Tipo de estudio:
Incidence_studies
/
Observational_studies
/
Prognostic_studies
Límite:
Humans
/
Infant
/
Newborn
Idioma:
Ko
Revista:
Korean Journal of Pediatrics
Año:
2006
Tipo del documento:
Article