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Acetaminophen versus ibuprofen in the management of hemodynamically significant patent ductus arteriosus in very low birth weight infants

Not Applicable
Completed
Conditions
Patent ductus arteriosus in the very low birth weight premature newborn
Neonatal Diseases
Registration Number
ISRCTN72579770
Lead Sponsor
niversity of Concepción
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
120
Inclusion Criteria

1. Preterm newborns between 25+0 – 31+6 weeks of gestational age and/or =1500 g of birth weight
2. Echocardiographic diagnosis of hemodynamically significant PDA within the first 2 weeks after birth
3. Admitted to the neonatal intensive care unit of Guillermo Grant Benavente Hospital

Exclusion Criteria

1. Major congenital malformations, fetal hydrops, complex or ductus-dependent congenital heart disease; septic shock
grade III and IV intracranial hemorrhage
2. Renal failure with urine output <1 cc/kg/hr in the previous 24 h
3. Serum creatinine concentration >1.5 mg/dl; platelet count <50,000 mm³
4. Major bleeding (defined as the presence of massive hematuria and/or blood in tracheal aspirate), hyperbilirubinemia in the range of exchange transfusion
5. Confirmed necrotizing enterocolitis (Bell stage > II)
6. Liver dysfunction defined as elevation of liver enzymes alanine aminotransferase (ALT) and aspartate aminotransferase (AST) over two times the upper limit of normal range (ALT 6-50 U/L and AST 35-140 U/L)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Secondary Outcome Measures
NameTimeMethod
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