Expectant management of patent ductus arteriosus for preterm infants: A meta-analysis of randomized controlled trials

被引:6
作者
Cheema, Huzaifa Ahmad [1 ,2 ]
Majeed, Zuhair [1 ]
Hayat, Tajamal [1 ]
Ahmed, Arslan [2 ]
Tariq, Muhammad Haider [2 ]
Shahid, Abia [1 ]
Titus, Anoop [3 ]
Minhas, Abdul Mannan Khan [4 ]
Ijaz, Sardar Hassan [5 ]
Ghelani, Sunil J. [6 ,7 ]
Kulkarni, Aparna [8 ]
Dani, Sourbha S. [5 ]
机构
[1] King Edward Med Univ, Dept Cardiol, Lahore 54000, Punjab, Pakistan
[2] King Edward Med Univ, Dept Med, Lahore, Pakistan
[3] St Vincent Hosp, Dept Internal Med, Worcester, MA USA
[4] Univ Mississippi, Med Ctr, Dept Med, Jackson, MS USA
[5] Lahey Hosp & Med Ctr, Beth Israel Lahey Hlth, Div Cardiovasc Med, Burlington, MA USA
[6] Boston Childrens Hosp, Dept Cardiol, Boston, MA USA
[7] Harvard Med Sch, Dept Pediat, Boston, MA USA
[8] Donald & Barbara Zucker Sch Med, Childrens Heart Ctr, Cohen Childrens Med Ctr Northwell Hlth, New York, NY USA
关键词
D O I
10.1016/j.ahj.2023.07.007
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We conducted this meta-analysis to compare expectant management of patent ductus arteriosus (PDA) with active treatment for PDA closure in preterm infants. Data from 7 randomized controlled trials (RCTs) showed that all-cause mortality and other clinical adverse outcomes did not differ between expectant management of PDA and active treatment. Future large-scale and double-blinded RCTs with a consistent definition for hemodynamically significant PDA, and focusing on clearly delineated high-risk subgroups or later selective treatment are needed to further evaluate the role of expectant management. (Am Heart J 2023;266:179-183.)
引用
收藏
页码:179 / 183
页数:5
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