Intravenous indomethacin therapy in premature infants with persistent ductus arteriosus-a double-blind controlled study

T. F. Yeh, J. A. Luken, A. Thalji, D. Raval, I. Carr, R. S. Pildes

Research output: Contribution to journalArticle

97 Citations (Scopus)

Abstract

A double-blind controlled trial of intravenous indomethacin therapy was performed using a group of 55 premature infants (27 placebo, 28 indomethacin) with a significant persistent ductus arteriosus. Indomethacin administration at a mean postnatal age of 8.9 days was followed by a significant effect on PDA in 89%; 75% of successes were attributable to indomethacin and 25% to spontaneous effects, an improvement by indomethacin of 86% in infants not undergoing spontaneous improvement. The shortterm side effects of indomethacin were transient; urinary output and serum sodium concentration decreased and serum potassium concentration increased. Indomethacin administration was associated with a decreased need for assisted ventilation and a decreased need for surgical closure of PDA. There was no significant difference between the placebo and indomethacin groups in mortality and bronchopulmonary dysplasia morbidity. The infants who developed BPD had higher RDS scores and lower PO2 values, requiring higher F1O2s with four hours of birth than those who did not develop BPD, indicating a more severe underlying pulmonary disability present at birth.

Original languageEnglish
Pages (from-to)137-145
Number of pages9
JournalThe Journal of Pediatrics
Volume98
Issue number1
DOIs
Publication statusPublished - Jan 1 1981
Externally publishedYes

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Ductus Arteriosus
Double-Blind Method
Premature Infants
Indomethacin
Therapeutics
Placebos
Parturition
Bronchopulmonary Dysplasia
Serum
Ventilation
Potassium
Sodium
Morbidity
Lung
Mortality

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health

Cite this

Intravenous indomethacin therapy in premature infants with persistent ductus arteriosus-a double-blind controlled study. / Yeh, T. F.; Luken, J. A.; Thalji, A.; Raval, D.; Carr, I.; Pildes, R. S.

In: The Journal of Pediatrics, Vol. 98, No. 1, 01.01.1981, p. 137-145.

Research output: Contribution to journalArticle

Yeh, T. F. ; Luken, J. A. ; Thalji, A. ; Raval, D. ; Carr, I. ; Pildes, R. S. / Intravenous indomethacin therapy in premature infants with persistent ductus arteriosus-a double-blind controlled study. In: The Journal of Pediatrics. 1981 ; Vol. 98, No. 1. pp. 137-145.
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