Timing of surgical ligation and morbidities in very low birth weight infants.

Abstract:

:The present study examined whether early patent ductus arteriosus (PDA) surgical ligation at ≤2 weeks of life was associated with increased morbidities and mortality in very low birth weight infants (VLBWIs) who were diagnosed with hemodynamically significant (hs) PDA. Between December 2013 and December 2015, a total of 407 VLBWIs were admitted, of whom 145 (35.6%) infants were diagnosed with an hs PDA. The clinical data for these infants were retrospectively collected for analysis. Among the 145 VLBWIs with an hs PDA, 58 (40%) infants had surgical ligation for PDA; of these, 29 (50%) infants had early ligation (EL; ligation at ≤2 weeks of life) and 29 (50%) infants had late ligation (LL; ligation at ≥2 weeks of life). The mean gestational age and birth weight were significantly lower in the PDA-ligated group compared with the nonligated group. In addition, pulmonary hypertension at ≤1 week of life and neonatal seizures were significantly more prevalent in the ligated group (P < 0.05). Increased rate of ROP laser treatment, bronchopulmonary dysplasia, longer hospital stays, and longer duration of mechanical ventilation were found in ligated group (P < 0.05). However, the morbidities and mortality did not differ significantly between the EL and LL groups. Pulmonary hypertension at ≤1 week of life was significantly associated with LL (P = 0.019), which was consistently a risk factor for hs PDA ligation in our multivariable logistic regression analysis. EL was not significantly associated with increased hospital morbidities and mortality in VLBWIs with hs PDA. Pulmonary hypertension at ≤1 week of life can be a risk factor for the need for surgical ligation of hs PDA.

journal_name

Medicine (Baltimore)

journal_title

Medicine

authors

Youn Y,Moon CJ,Lee JY,Lee C,Sung IK

doi

10.1097/MD.0000000000006557

subject

Has Abstract

pub_date

2017-04-01 00:00:00

pages

e6557

issue

14

eissn

0025-7974

issn

1536-5964

pii

00005792-201704070-00037

journal_volume

96

pub_type

杂志文章

相关文献

MEDICINE文献大全
  • Management of Postoperative Pain in Medical Institutions in Shandong Province in China.

    abstract::The aim of the study was to investigate current situation of postoperative pain management in medical institutions in Shandong Province.A questionnaire was developed on the basis of guidelines of acute pain and pain quality assessment scale. The questionnaire was used to obtain information regarding the nature and sca...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000002690

    authors: Liu D,Ma J,Zhang Z,Yu A,Chen X,Feng C,Lei W

    更新日期:2016-02-01 00:00:00

  • The association between the composite quality measure "textbook outcome" and long term survival in operated colon cancer.

    abstract::The aim of this study was to investigate the relationship between textbook outcome and survival in patients with surgically treated colon cancer. A total of 804 surgical cases were enrolled between June 1, 2010 and December 31, 2014. Textbook outcome was defined as patients who had colon cancer surgery and met the six...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022447

    authors: Yang CC,Tian YF,Liu WS,Chou CL,Cheng LC,Chu SS,Lee CC

    更新日期:2020-10-02 00:00:00

  • Treatment of a patient with breast cancer and glucose 6-phosphate dehydrogenase deficiency: A case report.

    abstract:RATIONALE:Glucose 6-phosphate dehydrogenase (G6PD) deficiency is the most common enzymatic disorder of red blood cells that cause hemolytic anemia. Some anticancer drugs are reported to trigger oxidative stress; however, events of hemolysis are rarely discussed in patients with G6PD deficiency required oncologic treatm...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014987

    authors: Chung WP,Hsu YT,Chen YP,Hsu HP

    更新日期:2019-03-01 00:00:00

  • Costs of Physician-Hospital Integration.

    abstract::Given that the enactment of the Patient Protection and Affordable Care Act of 2010 is expected to generate forces toward physician-hospital integration, this study examined an understudied, albeit important, area of costs incurred in physician-hospital integration. Such costs were analyzed through 24 semi-structured i...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000001762

    authors: Cho NE

    更新日期:2015-10-01 00:00:00

  • Epileptiform EEG discharges and sevoflurane in children: Protocol of a systematic review and meta-analysis.

    abstract:BACKGROUND:Epileptiform discharges in electroencephalogram (EEG) have been frequently reported in children undergoing sevoflurane mask induction. However, the incidence, characteristics and risk factors of these epileptiform patterns during sevoflurane anesthesia in children are poorly understood. The aim of this study...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000017401

    authors: Miao M,Xu Y,Cong X,Zhang L,Zhang J

    更新日期:2019-10-01 00:00:00

  • Distal radius fracture malunion in an adolescent patient treated with osteotomy and autologous iliac bone grafting: A case report.

    abstract:RATIONALE:Adolescent wrist trauma can cause epiphyseal dysplasia and even distal radius deformity malunion. At present, there is no uniform treatment standard for the malunion of the distal radius of adolescents. Osteotomy and autologous bone grafting are currently one of the effective ways to treat the disease. We tre...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000022535

    authors: Liu K,Mu L,Liu J,Fu Z,Chen L,Liu B

    更新日期:2020-10-02 00:00:00

  • Risk of secondary cancers in women with breast cancer and the influence of radiotherapy: A national cohort study in Taiwan.

    abstract::Breast cancer is the most common cancer in women worldwide; thus, the prolongation of survival, and the incidence and risk factors, including radiotherapy, for developing secondary malignancies are important. We compared the incidence of secondary and new primary cancers in women with breast cancer (CA) and well-match...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005556

    authors: Lin CY,Chen SH,Huang CC,Weng SF,Lee ST,Guo HR,Kuo SC,Su SB

    更新日期:2016-12-01 00:00:00

  • The reproductive outcome of an infertile man with AZFc microdeletions, via intracytoplasmic sperm injection in a high-risk pregnancy: Case report and literature review.

    abstract:RATIONALE:Infertile men with Y-chromosome microdeletions have been reported to be able to have their own children via intracytoplasmic sperm injection (ICSI). PATIENT CONCERNS:A 27-year-old man with Y-chromosome azoospermia factor c (AZFc) deletions underwent ICSI treatment. The pregnancy showed a high risk for trisom...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000016358

    authors: Hu C,Liu X,Li L,Hu X,Zhu H,Geng D,Liu R,Wang R

    更新日期:2019-07-01 00:00:00

  • A CARE-compliant article: a case of retrograde intussusception with Uncut-Roux-en-Y anastomosis after radical total gastrectomy: Review of the literature.

    abstract:RATIONALE:Postoperative intussusception is an unusual clinical entity and is rarely encountered as a complication following gastrectomy, especially radical total gastrectomy. PATIENT CONCERNS:A 74-year-old woman was admitted to our hospital with complaints of melena and hematemesis. And the endoscopic biopsy confirmed...

    journal_title:Medicine

    pub_type: 杂志文章,评审

    doi:10.1097/MD.0000000000008982

    authors: Zhou Y,Wang F,Ji Y,Lv J

    更新日期:2017-12-01 00:00:00

  • Aggressive intramuscular hemangiomas in the upper extremity: A case report.

    abstract:INTRODUCTION:Intramuscular hemangioma (IMH) is a rare congenital soft tissue tumor. Here, we report a case of IMH patient who had undergone several surgeries and other treatments that were all ineffective before he visited us. CLINICAL FINDINGS:This IMH patient was a 16-yearold male who was born with a tumor of unknow...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000005939

    authors: Lu H,Chen Q,Yang H,Shen H

    更新日期:2017-01-01 00:00:00

  • Expression of IL-17 and its gene promoter methylation status are associated with the progression of chronic hepatitis B virus infection.

    abstract::To explore interleukin-17 (IL-17) and its epigenetic regulation during the progression of chronic hepatitis B virus (HBV) infection.A total of 162 patients with chronic HBV infection, including 75 with chronic hepatitis B (CHB), 54 with hepatitis B-associated liver cirrhosis and 33 with hepatitis B-associated hepatoce...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000015924

    authors: Tian CH,Dai J,Zhang W,Liu Y,Yang Y

    更新日期:2019-06-01 00:00:00

  • Comparison Between Digital and Manual Marking for Toric Intraocular Lenses: A Randomized Trial.

    abstract::To compare the clinical outcome of digital and manual marking for toric intraocular lens (IOL) alignment. This is a prospective clinical study that included 60 eyes of 60 patients undergoing cataract surgery with coexisting corneal astigmatism more than 1 diopter (D). The eyes were randomly assigned to either digital ...

    journal_title:Medicine

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/MD.0000000000001618

    authors: Elhofi AH,Helaly HA

    更新日期:2015-09-01 00:00:00

  • Experiences and perceptions risk of health-care workers from coronavirus: A protocol for systematic review.

    abstract:BACKGROUND:Healthcare workers (HCWs) were at the frontline during the battle against coronavirus. Understanding and managing their fears and anxieties may hold lessons for handling future outbreaks. However, the experiences and perceptions risk of HCWs from coronavirus still remains to be controversial. Thus, the objec...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000020308

    authors: Chen P,Lei J,Chen F,Zhou B

    更新日期:2020-05-01 00:00:00

  • Effects of tumor origins and therapeutic options on the prognosis of hepatic neuroendocrine tumors: A retrospective study.

    abstract:ABSTRACT:Hepatic neuroendocrine tumors (HNETs) are uncommon neoplasms that can be subdivided into 2 types: primary and metastatic HNETs. Due to its rarity, heterogeneity and complexity, the diagnosis, treatment modalities and prognosis are still controversial.This retrospective study reviewed the effects of tumor origi...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000023655

    authors: Jiao X,Luan W,Peng X,Liu L,Zhang L,Zhou L

    更新日期:2020-12-18 00:00:00

  • Management of paradoxical embolism in a patient with coexisting patent foramen ovale and masked pulmonary arteriovenous fistula: A case report.

    abstract:RATIONALE:Paradoxical embolism (PE) is an important cause of cryptogenic stroke, particularly in young patients, which usually have a relation with an unexpected route in circulation. Here we report a rare case of cryptogenic stroke carried 2 uncommon malformations. PATIENT CONCERNS:A 48-year-old female experienced do...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000019507

    authors: Liu XH,Yang JM

    更新日期:2020-04-01 00:00:00

  • Association between early Helicobacter pylori eradication and a lower risk of recurrent complicated peptic ulcers in end-stage renal disease patients.

    abstract::End-stage renal disease (ESRD) patients exhibit an increased incidence of peptic ulcer disease. Helicobacter pylori plays a central role in the development of peptic ulcers. The effect of early H pylori eradication on the recurrence of complicated peptic ulcer disease in ESRD patients remains unclear. The aim of the p...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000370

    authors: Chang SS,Hu HY

    更新日期:2015-01-01 00:00:00

  • Epidermal growth factor receptor (EGFR) inhibitor induced purpuric drug eruption: Three case reports.

    abstract:INTRODUCTION:Purpuric drug eruption (PDE) is an uncommon, clinically distinct side effect of epidermal growth factor receptor (EGFR) inhibitors. PATIENT CONCERNS:Unlike acneiform eruption, which arises from hair follicles mainly in the head and neck area, PDE starts from xerosis cutis, primarily in the lower extremiti...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018112

    authors: Fang SY,Wu CS,Liu YS,Wei KC

    更新日期:2019-11-01 00:00:00

  • Effects of hyperbaric oxygen therapy on the expression levels of the inflammatory factors interleukin-12p40, macrophage inflammatory protein-1β, platelet-derived growth factor-BB, and interleukin-1 receptor antagonist in keloids.

    abstract:BACKGROUND:Our study aimed to screen and explore the expression of inflammatory factors in keloid patients and to investigate how hyperbaric oxygen (HBO) therapy affects the expression levels of interleukin-12p40 (IL-12p40), macrophage inflammatory protein-1β (MIP-1β), platelet-derived growth factor-BB (PDGF-BB), and i...

    journal_title:Medicine

    pub_type: 临床试验,杂志文章

    doi:10.1097/MD.0000000000019857

    authors: Hao Y,Dong X,Zhang M,Liu H,Zhu L,Wang Y

    更新日期:2020-04-01 00:00:00

  • Sex estimation from sternal measurements using multidetector computed tomography.

    abstract::We aimed to show the utility and reliability of sternal morphometric analysis for sex estimation.Sex estimation is a very important step in forensic identification. Skeletal surveys are main methods for sex estimation studies. Morphometric analysis of sternum may provide high accuracy rated data in sex discrimination....

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000000240

    authors: Ekizoglu O,Hocaoglu E,Inci E,Bilgili MG,Solmaz D,Erdil I,Can IO

    更新日期:2014-12-01 00:00:00

  • Successful closure of ileostomy in a patient with intestinal Behçet's disease after therapy with adalimumab: A case report.

    abstract:RATIONALE:Behçet's disease (BD) is a chronic immune-mediated inflammatory disorder involving multiple organ systems. In BD, intestinal ulcers can present as a refractory lesion capable of perforation, which makes the choice of treatment difficult. PATIENT CONCERNS:A 34-year-old male who was diagnosed with intestinal B...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014624

    authors: Yan Z,Cui BB,Yu YY,Yin G,Cen XM,Xie QB

    更新日期:2019-03-01 00:00:00

  • A multicenter, open-label, phase III study of Abcertin in Gaucher disease.

    abstract:BACKGROUND:Gaucher disease (GD) is caused by a deficiency in the lysosomal enzyme glucocerebrosidase. Enzyme replacement therapy (ERT) is recommended for clinical improvement. METHODS:The efficacy and safety of a new imiglucerase, Abcertin, were assessed in 7 Egyptian patients with treatment-naïve type 1 GD. Each pati...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000008492

    authors: Lee BH,Abdalla AF,Choi JH,Beshlawy AE,Kim GH,Heo SH,Megahed AMH,Elsayed MAL,Barakat TEM,Eid KMAE,El-Tagui MH,Mahmoud MMH,Fateen E,Park JY,Yoo HW

    更新日期:2017-11-01 00:00:00

  • Application of the healthcare failure mode and effects analysis system to reduce the incidence of posture syndrome of thyroid surgery.

    abstract::This study aimed to investigate the application of the healthcare failure mode and effect analysis (HFMEA) to reduce the incidence of posture syndrome of thyroid surgery (PSTS).Subjects before (n = 78, July 2017-December 2017) and after (n = 114, January 2018-June 2018) HFMEA implementation (The Second Hospital of Nan...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000018309

    authors: Zhang L,Zeng L,Yan Y,Hang Q

    更新日期:2019-12-01 00:00:00

  • Prostaglandin E1 plus methylcobalamin combination therapy versus prostaglandin E1 monotherapy for patients with diabetic peripheral neuropathy: A meta-analysis of randomized controlled trials.

    abstract:BACKGROUND:Prostaglandin E1 (P) or methylcobalamin (M) treatment has been suggested as a therapeutic approach for diabetic peripheral neuropathy (DPN) in many clinical trial reports. However, the combined effects of 2 drugs still remain dubious. OBJECTIVE:The aim of this report was to evaluate the efficacy of M plus P...

    journal_title:Medicine

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/MD.0000000000013020

    authors: Jiang DQ,Zhao SH,Li MX,Jiang LL,Wang Y,Wang Y

    更新日期:2018-11-01 00:00:00

  • Echocardiographic Diagnosis and Outcome of Pseudoaneurysm of the Mitral-Aortic Intervalvular Fibrosa: Results of a Single-Center Experience in Beijing.

    abstract::Pseudoaneurysm of the mitral-aortic intervalvular fibrosa (P-MAIVF) is a rare but potentially fatal entity. Early diagnosis and surgical treatment are particularly important to decrease risk of mortality. The purpose of this study was to explore the echocardiographic characteristics and outcome of P-MAIVF and to evalu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000003116

    authors: Han J,He Y,Gu X,Sun L,Zhao Y,Liu W,Zhang Y,Yang X,Li Y

    更新日期:2016-03-01 00:00:00

  • Falsely elevated thyroglobulin and calcitonin due to rheumatoid factor in non-relapsing thyroid carcinoma: A case report.

    abstract:RATIONALE:Thyroglobulin (Tg) is an accurate indicator of clinical outcome after total thyroidectomy in patients with differentiated thyroid carcinoma. Usually, Tg levels agree with whole body scan. However, in some patient, discordant results were found, often because of Tg immunoassay interference. Several reports ind...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000014178

    authors: Lupoli GA,Barba L,Liotti A,La Civita E,Lupoli R,Riccio E,Portella G,Formisano P,Beguinot F,Terracciano D

    更新日期:2019-02-01 00:00:00

  • Postural control and balance in a cohort of healthy people living in Europe: An observational study.

    abstract::In the past 20 years, posturography has been widely used in the medical field. This observational study aimed to report the values derived from posturography of a wide set of healthy subjects from various European countries using a plantar pressure platform and a standardized method of measurement.A random cluster sam...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000013835

    authors: Patti A,Bianco A,Şahin N,Sekulic D,Paoli A,Iovane A,Messina G,Gagey PM,Palma A

    更新日期:2018-12-01 00:00:00

  • Abnormal octadeca-carbon fatty acids distribution in erythrocyte membrane phospholipids of patients with gastrointestinal tumor.

    abstract::Fatty acid (FA) composition is closely associated with tumorigenesis and neoplasm metastasis. This study was designed to investigate the differences of phospholipid FA (PLFA) composition in erythrocyte and platelet cell membranes in both gastrointestinal (GI) tumor patients and healthy controls.In this prospective stu...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000007189

    authors: Lin S,Li T,Liu X,Wei S,Liu Z,Hu S,Liu Y,Tan H

    更新日期:2017-06-01 00:00:00

  • Magnetic stimulation for female patients with stress urinary incontinence, a meta-analysis of studies with short-term follow-up.

    abstract:BACKGROUND:To determine the efficacy of magnetic stimulation (MS) in female patients with stress urinary incontinence (SUI) by performing a meta-analysis on peer-reviewed randomized controlled trails (RCTs). METHODS:PubMed, Embase, and Cochrane library were retrieved for any peer-reviewed original articles in English....

    journal_title:Medicine

    pub_type: 杂志文章,meta分析

    doi:10.1097/MD.0000000000015572

    authors: Peng L,Zeng X,Shen H,Luo DY

    更新日期:2019-05-01 00:00:00

  • Laparoscopic spleen-preserving pancreatic resection for intrapancreatic accessory spleen: Case report.

    abstract:INTRODUCTION:Intrapancreatic accessory spleen (IPAS) has been rarely noted radiologically because the spatial resolution of conventional images was low. The infrequent presence of the accessory spleen in the pancreatic tissue could lead to inappropriate diagnosis, thereby necessitating a therapeutic approach. The prese...

    journal_title:Medicine

    pub_type: 杂志文章

    doi:10.1097/MD.0000000000016488

    authors: Li L,Liu X,Chen J,Liu Z,Li Q,Shi Y

    更新日期:2019-08-01 00:00:00

  • Breast Cancer Subtype is Associated With Axillary Lymph Node Metastasis: A Retrospective Cohort Study.

    abstract::The purpose of this study was to assess whether breast cancer subtype (BCS) as determined by estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 can predict the axillary lymph node metastasis in breast cancer. Patients who received breast conserving surgery or mastectomy and axillary...

    journal_title:Medicine

    pub_type: 杂志文章,多中心研究

    doi:10.1097/MD.0000000000002213

    authors: He ZY,Wu SG,Yang Q,Sun JY,Li FY,Lin Q,Lin HX

    更新日期:2015-12-01 00:00:00