Risk factors for PDA ligation and neurodevelopmental outcomes at corrected 18–24 months in very low birth weight infants Article Swipe
Sol Kim
,
Sae Yun Kim
,
Ju-Ae Shin
,
Young‐Ah Youn
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12887-024-04860-6
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1186/s12887-024-04860-6
Background Patent ductus arteriosus (PDA) is commonly encountered morbidity which often occurs as up to 60% of extremely preterm infants born at < 29 weeks gestational age (GA). Purpose This study aims to assess the clinical risk factors associated with PDA ligation among very low birth weight infants (VLBWI) and evaluate the neurodevelopmental outcomes of those who underwent PDA ligation. Methods A total of 540 VLBWI were initially diagnosed with PDA in our 50-bed level IV NICU at Seoul St. Mary’s Hospital, The Catholic University of Korea, between January 2015 and June 2023. Among these 540 VLBWI with PDA, only 221 had consistent hemodynamically significant (hs) PDA which required intervention including fluid restriction, medical treatment, or surgical ligation. In this study, only those 221 VLBWI with hsPDA who underwent neurodevelopmental assessment at corrected 18–24 months of age were included in this study analysis. Results Out of 221 VLBWI diagnosed with hemodynamically significant (hs) PDA, 133 (60.2%) underwent PDA ligation, while the remaining 88 (39.8%) had their hs PDAs closed either medically or with fluid restriction. The mean gestational age and birth weight were significantly lower in PDA ligation group compared to no PDA ligation group (27.02 ± 2.17 vs. 27.98 ± 2.36, 907.31 ± 258.36 vs. 1006.07 ± 283.65, p = 0.001, 0.008). Resuscitation including intubation at delivery and intraventricular hemorrhage (IVH) (grade ≥ 3) were significantly higher in PDA ligation group. The clinical outcomes in the PDA ligation group revealed significantly worse oucomes compared to the no PDA ligation group. Both resuscitation, including intubation at delivery, and IVH (grade ≥ 3), consistently exhibited an increased risk for PDA ligation in a multivariable logistic regression analysis. Concerning neurodevelopmental outcomes, infants who underwent PDA ligation demonstrated significantly lower cognitive scores. However, only IVH (grade ≥ 3) and PVL were consistently associated with an increased risk of abnormal neurodevelopment at the corrected age of 18–24 months. Conclusion In our study, despite the consistent association between cognitive developmental delays in VLBWI who underwent PDA ligation, we observed that sicker and more vulnerable VLBWIs, specifically those experincing severe IVH, consistently exhibited an increased risk for both PDA ligation and abnormal neurodevelopment at the corrected age of 18–24 months.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1186/s12887-024-04860-6
- https://bmcpediatr.biomedcentral.com/counter/pdf/10.1186/s12887-024-04860-6
- OA Status
- gold
- References
- 24
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4399242897
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4399242897Canonical identifier for this work in OpenAlex
- DOI
-
https://doi.org/10.1186/s12887-024-04860-6Digital Object Identifier
- Title
-
Risk factors for PDA ligation and neurodevelopmental outcomes at corrected 18–24 months in very low birth weight infantsWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2024Year of publication
- Publication date
-
2024-05-31Full publication date if available
- Authors
-
Sol Kim, Sae Yun Kim, Ju-Ae Shin, Young‐Ah YounList of authors in order
- Landing page
-
https://doi.org/10.1186/s12887-024-04860-6Publisher landing page
- PDF URL
-
https://bmcpediatr.biomedcentral.com/counter/pdf/10.1186/s12887-024-04860-6Direct link to full text PDF
- Open access
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YesWhether a free full text is available
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-
goldOpen access status per OpenAlex
- OA URL
-
https://bmcpediatr.biomedcentral.com/counter/pdf/10.1186/s12887-024-04860-6Direct OA link when available
- Concepts
-
Medicine, Low birth weight, Pediatrics, Birth weight, Pregnancy, Genetics, BiologyTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
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24Number of works referenced by this work
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10Other works algorithmically related by OpenAlex
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| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |