The impact of a dedicated patent ductus arteriosus ligation team on neonatal health-care outcomes

Journal of Perinatology : Official Journal of the California Perinatal Association
M H F ResendeP McNamara

Abstract

The decision to perform patent ductus arteriosus (PDA) ligation is controversial. Patient selection is oftentimes poorly standardized, leading to delays in referral and inappropriate intervention. A system for PDA ligation categorization and triaging process was introduced in 2006 at a quaternary hospital in Canada to streamline referrals and enhance perioperative care. We aimed to evaluate the impact of this dedicated PDA ligation triaging system comparing pre- and postimplementation of this system. We performed a retrospective chart review. Demographic and cardiorespiratory data of neonates ⩽30 weeks gestation age at birth, who were referred for and/or had a PDA ligation performed during two distinct epochs (EPOCH 1 (2003 to 2005) and EPOCH 2 (2010 to 2012)), were analyzed. All surgeries were performed at The Hospital for Sick Children, the regional referral center for PDA ligation. The primary outcome was incidence of PDA ligation and procedural cancellations. Secondary outcomes included postoperative need for cardiovascular or respiratory support. Subgroup analysis was performed in neonates <1000 vs >1000 g at the time of surgery during both epochs. A total of 198 neonates underwent surgery with no difference in baseline de...Continue Reading

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Citations

Mar 25, 2019·Acta Obstetricia Et Gynecologica Scandinavica·Daniele Di MascioFrancesco D'Antonio
Aug 29, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Sally MashallyDany E Weisz
Sep 29, 2021·American Journal of Perinatology·Michael P CastaldoPatrick J McNamara

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