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A study to determine whether closure of Patent ductus arteriosus with indomethacin on the basis of size in the first 24 hrs of life in preterm babies between 28-32 weeks having respiratory difficulty is required or not.

Phase 4
Completed
Registration Number
CTRI/2009/091/000041
Lead Sponsor
Anil Batra
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Preterm 28 - 32 weeks admitted to NICU within 12 hrs of birth
Ventilatory support for respiratory distress
PDA more than or equal to 2 mm in size in the first 24 hrs of life

Exclusion Criteria

Babies with major congenital malformations
Any contraindication of giving indomethacin
Babies with severe asphyxia as defined by Apgar score, <3 at 5 min of life with cord/with in 1 hour of life pH< 7.0 or base excess >16
Shock requiring pressor support at time of randomization
Refusal to obtain consent
Gestation below 28 weeks
Presence of other cardiac malformations including ASD, VSD, any cause of left ventricular dysfunction and mitral valve abnormalities

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Closure of PDA at 7 days of lifeTimepoint: 7 days
Secondary Outcome Measures
NameTimeMethod
Duration of assisted ventilation <br>Hemodynamically significant PDA at 3 days of age<br>Pulmonary hemorrhage<br>Intraventricular haemorrhage <br>Duration of oxygen dependence <br>Duration of hospital stay<br>Sepsis <br>Side effects related to indomethacin<br>Timepoint: 3 days<br>Nursery stay
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