Association between early echocardiography, therapy for patent ductus arteriosus, and outcomes in very low birth weight infants.


Journal Article

In very low birth weight infants, persistence of a patent ductus arteriosus results in morbidity and mortality. Therapies to close the ductus are effective, but clinical outcomes may depend on the accuracy of diagnosis and the timing of administration. The objective of the present study was to characterise the association between early echocardiography, therapy for patent ductus arteriosus, and outcomes in very low birth weight infants.This retrospective cohort study used electronic health record data on inborn infants of gestational age ⩽28 weeks and birth weight <1500 g who were discharged after day of life 7 from 362 neonatal ICU from 1997 to 2013. The primary outcome was death between day of life 7 and discharge. Secondary outcomes included bronchopulmonary dysplasia, necrotising enterocolitis, and grade 3 or 4 intraventricular haemorrhage.This study included a total of 48,551 infants with a median gestational age of 27 weeks (interquartile range 25, 28) and birth weight 870 g (706, 1050). Early echocardiography - that is, performed during days of life 2 to 6 - was performed in 15,971/48,551 (33%) infants, and patent ductus arteriosus was diagnosed in 31,712/48,551 (65%). The diagnosis was more common in infants who had undergone early echocardiography (14,549/15,971 [91%] versus 17,163/32,580 [53%], p<0.001). In multivariable analysis, early echocardiography was not associated with reduced mortality (odds ratio 0.97, 95% CI 0.89-1.05). Results were similar in the subset of infants who received therapy for patent ductus arteriosus (odds ratio 1.01, 95% CI 0.90-1.15).Early echocardiography was associated with an increased diagnosis of patent ductus arteriosus, but not with decreased mortality.

Full Text

Duke Authors

Cited Authors

  • Lee, JH; Greenberg, RG; Quek, BH; Clark, RH; Laughon, MM; Smith, PB; Hornik, CP

Published Date

  • November 2017

Published In

Volume / Issue

  • 27 / 9

Start / End Page

  • 1732 - 1739

PubMed ID

  • 28625190

Pubmed Central ID

  • 28625190

Electronic International Standard Serial Number (EISSN)

  • 1467-1107

International Standard Serial Number (ISSN)

  • 1047-9511

Digital Object Identifier (DOI)

  • 10.1017/s1047951117001081


  • eng