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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5
|
pubmed:dateCreated |
1990-12-7
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pubmed:abstractText |
We tested the hypothesis that prolonged maintenance indomethacin therapy would allow more effective closure of patent ductus arteriosus (PDA) and thereby decrease the recurrence rate. Thirty-nine low birthweight neonates (less than 1500 gm) with confirmed PDA were randomly assigned in a double-blind fashion to receive standard indomethacin therapy (three doses), followed either by maintenance indomethacin therapy (0.2 mg/kg/day) for 5 days or by an equivalent volume of placebo for 5 days. Of the 20 infants who received maintenance indomethacin therapy, two (10%) required additional therapy and one of these required surgical ligation. Of the 19 infants who received only the first three indomethacin doses, nine (47%) required additional therapy for PDA (p less than 0.05) and seven of these had a ligation (p less than 0.05). We conclude that maintenance indomethacin therapy, in comparison with short-term indomethacin therapy, decreases the incidence of surgical PDA ligations, eliminates most PDA recurrences, and does not increase toxic effects of indomethacin in the low birth weight infant with PDA.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Nov
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pubmed:issn |
0022-3476
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:volume |
117
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
771-6
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:2231212-Birth Weight,
pubmed-meshheading:2231212-Double-Blind Method,
pubmed-meshheading:2231212-Ductus Arteriosus, Patent,
pubmed-meshheading:2231212-Gestational Age,
pubmed-meshheading:2231212-Humans,
pubmed-meshheading:2231212-Indomethacin,
pubmed-meshheading:2231212-Infant, Low Birth Weight,
pubmed-meshheading:2231212-Infant, Newborn,
pubmed-meshheading:2231212-Ligation,
pubmed-meshheading:2231212-Placebos,
pubmed-meshheading:2231212-Recurrence,
pubmed-meshheading:2231212-Time Factors
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pubmed:year |
1990
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pubmed:articleTitle |
Prolonged indomethacin therapy for the prevention of recurrences of patent ductus arteriosus.
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pubmed:affiliation |
University of Chicago Medical Center, Illinois.
|
pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial
|